Gentile, Jessica M
Gentile, Jessica M is an sole proprietor health care provider with primary practice located at 22 Wycomb Pl , Coram NY 11727-1045. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Gentile, Jessica M can be contacted via phone (631) 473-3871.Contact Information
Primary practice address
22 Wycomb Pl
Coram NY 11727-1045
Phone: (631) 473-3871
Fax: (631) 473-3871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
| NPI number | 1598948796 |
|---|---|
| LBN Legal business name | Gentile, Jessica M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2007 |
| Last updated | Dec 11th, 2007 - about 18 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 | 1598948796 | NPPES |
| New York | Other | 1768097 | NYS OF EDUCATION DEPARTME |
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