Adelberg, Jessica Elaine

Adelberg, Jessica Elaine is an individual health care provider with primary practice located at 998 Crooked Hill Rd Bldg#69, Brentwood NY 11717-1019. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Adelberg, Jessica Elaine can be contacted via phone (631) 761-4186.

Contact Information

Primary practice address
998 Crooked Hill Rd Bldg#69 Brentwood NY 11717-1019
Phone: (631) 761-4186
Fax: (631) 761-4184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New York

Profile Details

NPI number 1104051374
LBN Legal business name Adelberg, Jessica Elaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Aug 6th, 2010 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104051374 NPPES
New York MEDICAID 01175277

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