Fajardo, Jeremae Gonzales
Fajardo, Jeremae Gonzales is an sole proprietor health care provider with primary practice located at 480 Forest Ave , Locust Valley NY 11560-2151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fajardo, Jeremae Gonzales can be contacted via phone (915) 593-9081.Contact Information
Primary practice address
480 Forest Ave
Locust Valley NY 11560-2151
Phone: (915) 593-9081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 432719 | New York |
Profile Details
| NPI number | 1841039591 |
|---|---|
| LBN Legal business name | Fajardo, Jeremae Gonzales |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2024 |
| Last updated | May 22nd, 2024 - about last year |
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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