Amaru, Jaclyn Noelle

Amaru, Jaclyn Noelle is an individual health care provider with primary practice located at 100 Merrick Rd Ste 128W , Rockville Centre NY 11570-4821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Amaru, Jaclyn Noelle can be contacted via phone (516) 255-9031.

Contact Information

Primary practice address
100 Merrick Rd Ste 128W Rockville Centre NY 11570-4821
Phone: (516) 255-9031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0141421 New York

Profile Details

NPI number 1801106315
LBN Legal business name Amaru, Jaclyn Noelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Dec 21st, 2018 - about 7 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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