Delmont, Jacqueline

Delmont, Jacqueline is an individual health care provider with primary practice located at 55 N Main St , Freeport NY 11520-2243. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Delmont, Jacqueline can be contacted via phone (516) 377-8014.

Contact Information

Primary practice address
55 N Main St Freeport NY 11520-2243
Fax: (516) 377-8017
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 212962 New York

Profile Details

NPI number 1144210196
LBN Legal business name Delmont, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 12th, 2016 - about 8 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 1144210196 NPPES
New York Other 01947942 MEDICAID

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