Guida, Jacquelyn
Guida, Jacquelyn is an sole proprietor health care provider with primary practice located at 542 Jerusalem Ave , North Bellmore NY 11710-1829. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Guida, Jacquelyn can be contacted via phone (516) 679-5866.Contact Information
Primary practice address
542 Jerusalem Ave
North Bellmore NY 11710-1829
Phone: (516) 679-5866
Fax: (516) 679-5869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT005946-1 | New York |
Profile Details
| NPI number | 1174603468 |
|---|---|
| LBN Legal business name | Guida, Jacquelyn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1174603468 | NPPES |
| New York | MEDICAID | 02439985 |
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