An, Jane J

An, Jane J is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. An, Jane J can be contacted via phone (718) 226-6575.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Fax: (718) 226-1450
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA09815500 New Jersey

Profile Details

NPI number 1326354929
LBN Legal business name An, Jane J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Dec 10th, 2019 - about 5 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 1326354929 NPPES
New Jersey MEDICAID 0508292

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