Cesar, Jefferson Junior Celus
Cesar, Jefferson Junior Celus is an individual health care provider with primary practice located at 400 Sunrise Hwy , Amityville NY 11701-2508. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Cesar, Jefferson Junior Celus can be contacted via phone (631) 424-7431.Contact Information
Primary practice address
400 Sunrise Hwy
Amityville NY 11701-2508
Phone: (631) 424-7431
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 634746 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402247 | New York |
Profile Details
NPI number | 1568765683 |
---|---|
LBN Legal business name | Cesar, Jefferson Junior Celus |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2010 |
Last updated | Jun 16th, 2018 - about 6 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 | 1568765683 | NPPES |
New York | MEDICAID | 04840653 |
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