Fernandez, Jessica

Fernandez, Jessica is an individual health care provider with primary practice located at 5225 Nesconset Highway, Suite 30 , Port Jefferson Station NY 11776-2060. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Fernandez, Jessica can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
5225 Nesconset Highway, Suite 30 Port Jefferson Station NY 11776-2060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X New York

Profile Details

NPI number 1578706081
LBN Legal business name Fernandez, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2009
Last updated Apr 14th, 2009 - about 16 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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