Alava, Jessica L

Alava, Jessica L is an sole proprietor health care provider with primary practice located at 93 Cranford Court , Staten Island NY 10306. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Health Educator. Other Service Providers / Specialist is her primary health care specialty. Alava, Jessica L can be contacted via phone (718) 208-3718.

Contact Information

Primary practice address
93 Cranford Court Staten Island NY 10306
Phone: (718) 208-3718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 557029055 New York
Other Service Providers / Health Educator 174H00000X 557029055 New York

Profile Details

NPI number 1619312717
LBN Legal business name Alava, Jessica L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2013
Last updated Jul 29th, 2014 - about 11 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 1619312717 NPPES
New York Other 557029055 MYSELF

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