Burgos, Jenice
Burgos, Jenice is an sole proprietor health care provider with primary practice located at 760 Broadway # 5A206 , Brooklyn NY 11206-5383. She recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as her primary health care specialty. Burgos, Jenice can be contacted via phone (718) 963-5893.Contact Information
Primary practice address
760 Broadway # 5A206
Brooklyn NY 11206-5383
Phone: (718) 963-5893
Fax: (718) 630-3138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 107043 | New York |
Profile Details
| NPI number | 1174297865 |
|---|---|
| LBN Legal business name | Burgos, Jenice |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2021 |
| Last updated | Aug 5th, 2021 - about 3 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 | 1174297865 | NPPES |
| New York | MEDICAID | 100148153 |
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