Bak, Jenny M
Bak, Jenny M is an individual health care provider with primary practice located at 178 New Hyde Park Rd , Franklin Square NY 11010-3012. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bak, Jenny M can be contacted via phone (516) 775-4294.Contact Information
Primary practice address
178 New Hyde Park Rd
Franklin Square NY 11010-3012
Phone: (516) 775-4294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 041660 | New York |
Profile Details
| NPI number | 1619159738 |
|---|---|
| LBN Legal business name | Bak, Jenny M |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Nov 30th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619159738 | NPPES |
| New York | MEDICAID | 00703324 |
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