Fudge, Jessica

Fudge, Jessica is an sole proprietor health care provider with primary practice located at 7132 260Th St , Glen Oaks NY 11004-1151. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fudge, Jessica can be contacted via phone (134) 783-4409.

Contact Information

Primary practice address
7132 260Th St Glen Oaks NY 11004-1151
Phone: (134) 783-4409
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New York

Profile Details

NPI number 1427740943
LBN Legal business name Fudge, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2023
Last updated May 23rd, 2023 - 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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