Brock, Jessica Beth

Brock, Jessica Beth is an sole proprietor health care provider with primary practice located at 42 Gwendolyn Pl , East Islip NY 11730-3220. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Brock, Jessica Beth can be contacted via phone (631) 525-3202.

Contact Information

Primary practice address
42 Gwendolyn Pl East Islip NY 11730-3220
Phone: (631) 525-3202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York

Profile Details

NPI number 1356909360
LBN Legal business name Brock, Jessica Beth
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2019
Last updated Jun 4th, 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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