Hackell, Jesse
Hackell, Jesse is an individual health care provider with primary practice located at 4 Medical Park Dr Suite C, Pomona NY 10970-3516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hackell, Jesse can be contacted via phone (845) 362-0202.Contact Information
Primary practice address
4 Medical Park Dr Suite C
Pomona NY 10970-3516
Phone: (845) 362-0202
Fax: (845) 362-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 145137 | New York |
Profile Details
| NPI number | 1730278185 |
|---|---|
| LBN Legal business name | Hackell, Jesse |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 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 | 1730278185 | NPPES |
| New York | MEDICAID | 00606253 |
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