Fern, Jacqueline Sherry
Fern, Jacqueline Sherry is an individual health care provider with primary practice located at 2 Medical Dr Suite A, Port Jefferson Station NY 11776-1598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fern, Jacqueline Sherry can be contacted via phone (631) 928-1555.Contact Information
Primary practice address
2 Medical Dr Suite A
Port Jefferson Station NY 11776-1598
Phone: (631) 928-1555
Fax: (631) 928-1570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 175358 | New York |
Profile Details
| NPI number | 1235114752 |
|---|---|
| LBN Legal business name | Fern, Jacqueline Sherry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | May 22nd, 2014 - about 11 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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