Espana, Jorge Martin
Espana, Jorge Martin is an individual health care provider with primary practice located at 5 Grace Church St , Port Chester NY 10573-4911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Espana, Jorge Martin can be contacted via phone (914) 937-8899.Contact Information
Primary practice address
5 Grace Church St
Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax: (914) 937-7932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 282704 | New York |
Profile Details
| NPI number | 1811254469 |
|---|---|
| LBN Legal business name | Espana, Jorge Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Jan 30th, 2017 - about 7 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 | 1811254469 | NPPES |
| New York | MEDICAID | 04357411 |
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