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
Phone: (516) 377-8014
Fax: (516) 377-8017
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144210196 | NPPES |
New York | Other | 01947942 | MEDICAID |
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