Bertolino, Jian Xin
Bertolino, Jian Xin is an sole proprietor health care provider with primary practice located at 5620 Main St , Flushing NY 11355-5046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bertolino, Jian Xin can be contacted via phone (718) 670-1837.Contact Information
Primary practice address
5620 Main St
Flushing NY 11355-5046
Phone: (718) 670-1837
Fax: (718) 961-1853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F308582-1 | New York |
Profile Details
| NPI number | 1922500982 |
|---|---|
| LBN Legal business name | Bertolino, Jian Xin |
| Credentials | AGPCNP/BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2018 |
| Last updated | Aug 14th, 2018 - about 6 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 | 1922500982 | NPPES |
| New York | MEDICAID | 05133835 |
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