Burzotta, Jaclyn

Burzotta, Jaclyn is an sole proprietor health care provider with primary practice located at 16 Ginger Bread Rd , Kings Park NY 11754-5060. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Burzotta, Jaclyn can be contacted via phone (631) 269-8938.

Contact Information

Primary practice address
16 Ginger Bread Rd Kings Park NY 11754-5060
Phone: (631) 269-8938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1033520010
LBN Legal business name Burzotta, Jaclyn
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2014
Last updated Jul 1st, 2014 - 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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