Jackson David, Gracenell Phileen

Jackson David, Gracenell Phileen is an individual health care provider with primary practice located at 784 Linden Blvd Apt 2C , Brooklyn NY 11203-3535. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider, which is considered as her primary health care specialty. Jackson David, Gracenell Phileen can be contacted via phone (718) 781-2041.

Contact Information

Primary practice address
784 Linden Blvd Apt 2C Brooklyn NY 11203-3535
Phone: (718) 781-2041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orientation and Mobility Training Provider 225CX0006X

Profile Details

NPI number 1366115412
LBN Legal business name Jackson David, Gracenell Phileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2021
Last updated Jul 26th, 2021 - about 3 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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