Bonventre, Jaclyn Marie
Bonventre, Jaclyn Marie is an individual health care provider with primary practice located at 18 Cynthia Ln , Center Moriches NY 11934-2602. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bonventre, Jaclyn Marie can be contacted via phone (631) 909-2065.Contact Information
Primary practice address
18 Cynthia Ln
Center Moriches NY 11934-2602
Phone: (631) 909-2065
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 484461041 | New York |
Profile Details
| NPI number | 1114361219 |
|---|---|
| LBN Legal business name | Bonventre, Jaclyn Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2013 |
| Last updated | Sep 5th, 2013 - about 11 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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