Davidov, Jacklyn

Davidov, Jacklyn is an individual health care provider with primary practice located at 9004 161St St Suite 304, Jamaica NY 11432-6141. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Other Service Providers / Case Manager/Care Coordinator. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Davidov, Jacklyn can be contacted via phone (718) 206-1000.

Contact Information

Primary practice address
9004 161St St Suite 304 Jamaica NY 11432-6141
Phone: (718) 206-1000
Fax: (718) 206-1077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1487910915
LBN Legal business name Davidov, Jacklyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Sep 11th, 2019 - 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.

Request for update

Popular Providers