Cepeda, Jaime
Cepeda, Jaime is an individual health care provider with primary practice located at 384 Crystal Run Rd Ste 201 , Middletown NY 10941-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cepeda, Jaime can be contacted via phone (845) 692-8780.Contact Information
Primary practice address
384 Crystal Run Rd Ste 201
Middletown NY 10941-4073
Phone: (845) 692-8780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 229029 | New York |
Profile Details
| NPI number | 1811932965 |
|---|---|
| LBN Legal business name | Cepeda, Jaime |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 16th, 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 | 1811932965 | NPPES |
| New York | MEDICAID | 02791564 | |
| New York | Other | WNW101 |
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