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
Phone: (914) 220-3420
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356624746 | NPPES |
New York | MEDICAID | 1326195637 |
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