Brockway, Jessica

Brockway, Jessica is an individual health care provider with primary practice located at 70 Edgewood Rd , Saranac Lake NY 12983-1537. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Brockway, Jessica can be contacted via phone (518) 891-5535.

Contact Information

Primary practice address
70 Edgewood Rd Saranac Lake NY 12983-1537
Phone: (518) 891-5535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1952919920
LBN Legal business name Brockway, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2020
Last updated Oct 6th, 2023 - about last year

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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