Gomez Cosse, Mary Jacqueline

Gomez Cosse, Mary Jacqueline is an individual health care provider with primary practice located at 7000 Austin St , Forest Hills NY 11375-1022. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gomez Cosse, Mary Jacqueline can be contacted via phone (718) 762-7633.

Contact Information

Primary practice address
7000 Austin St Forest Hills NY 11375-1022
Phone: (718) 762-7633
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1962040899
LBN Legal business name Gomez Cosse, Mary Jacqueline
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2019
Last updated Dec 10th, 2019 - about 5 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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