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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568765683 NPPES
New York MEDICAID 04840653

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