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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811932965 NPPES
New York MEDICAID 02791564
New York Other WNW101

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