Daniel, Jaison Jacob

Daniel, Jaison Jacob is an sole proprietor health care provider with primary practice located at 19213 Union Tpke , Fresh Meadows NY 11366-1865. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Daniel, Jaison Jacob can be contacted via phone (718) 468-9800.

Contact Information

Primary practice address
19213 Union Tpke Fresh Meadows NY 11366-1865
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T009076 New York

Profile Details

NPI number 1851936322
LBN Legal business name Daniel, Jaison Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2019
Last updated Dec 16th, 2019 - about 5 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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