Jackson, Desiree
Jackson, Desiree is an sole proprietor health care provider with primary practice located at 2127 Marion Pl , North Baldwin NY 11510-2921. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Jackson, Desiree can be contacted via phone (646) 739-0985.Contact Information
Primary practice address
2127 Marion Pl
North Baldwin NY 11510-2921
Phone: (646) 739-0985
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | 1773076 | New York |
Profile Details
| NPI number | 1699150268 |
|---|---|
| LBN Legal business name | Jackson, Desiree |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Jul 24th, 2015 - about 10 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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