Cornell, Jaclyn C

Cornell, Jaclyn C is an individual health care provider with primary practice located at 4271 Hempstead Tpke Suite 1, Bethpage NY 11714-5708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cornell, Jaclyn C can be contacted via phone (516) 758-8600.

Contact Information

Primary practice address
4271 Hempstead Tpke Suite 1 Bethpage NY 11714-5708
Phone: (516) 758-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19303 New York

Profile Details

NPI number 1548633001
LBN Legal business name Cornell, Jaclyn C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Jun 28th, 2023 - about last year

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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