Ammirata, Jacqueline A

Ammirata, Jacqueline A is an individual health care provider with primary practice located at 320 Montauk Highway South Bay Ob Gyn Pc, West Islip NY 11795-4401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ammirata, Jacqueline A can be contacted via phone (631) 587-2500.

Contact Information

Primary practice address
320 Montauk Highway South Bay Ob Gyn Pc West Islip NY 11795-4401
Phone: (631) 587-2500
Fax: (631) 587-0292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2060531 New York

Profile Details

NPI number 1104938455
LBN Legal business name Ammirata, Jacqueline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 14th, 2021 - about 3 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 1104938455 NPPES
New York MEDICAID 01944912
New York Other 2507203
New York Other 44G631

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