Fonseca-Elias, Jacqueline

Fonseca-Elias, Jacqueline is an sole proprietor health care provider with primary practice located at 1000 W Boston Post Rd , Mamaroneck NY 10543-3328. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fonseca-Elias, Jacqueline can be contacted via phone (914) 220-3420.

Contact Information

Primary practice address
1000 W Boston Post Rd Mamaroneck NY 10543-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1356624746
LBN Legal business name Fonseca-Elias, Jacqueline
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356624746 NPPES
New York MEDICAID 1326195637

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