Butera, Jacqueline Ann
Butera, Jacqueline Ann is an individual health care provider with primary practice located at 100 Saratoga Village Blvd Suite 35, Malta NY 12020-3737. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Butera, Jacqueline Ann can be contacted via phone (518) 899-9235.Contact Information
Primary practice address
100 Saratoga Village Blvd Suite 35
Malta NY 12020-3737
Phone: (518) 899-9235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2373797 | New York |
Profile Details
| NPI number | 1619261880 |
|---|---|
| LBN Legal business name | Butera, Jacqueline Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2011 |
| Last updated | Jun 6th, 2011 - about 13 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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