Abrahall, Jaclyn C

Abrahall, Jaclyn C is an individual health care provider with primary practice located at 200 Motor Pkwy Ste C-16 , Hauppauge NY 11788-5114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Abrahall, Jaclyn C can be contacted via phone (631) 638-4933.

Contact Information

Primary practice address
200 Motor Pkwy Ste C-16 Hauppauge NY 11788-5114
Phone: (631) 638-4933
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 695786 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343035 New York

Profile Details

NPI number 1972036333
LBN Legal business name Abrahall, Jaclyn C
Credentials FNP-C, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2017
Last updated Jan 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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