Colonna, Jacqueline Anne

Colonna, Jacqueline Anne is an individual health care provider with primary practice located at 21 Montgomery Ave , Mastic NY 11950-2603. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Colonna, Jacqueline Anne can be contacted via phone (631) 466-2631.

Contact Information

Primary practice address
21 Montgomery Ave Mastic NY 11950-2603
Phone: (631) 466-2631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 296672 New York

Profile Details

NPI number 1023248044
LBN Legal business name Colonna, Jacqueline Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2009
Last updated Jul 24th, 2009 - about 15 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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