Jackson, Emily Rose

Jackson, Emily Rose is an sole proprietor health care provider with primary practice located at 2171 Jericho Tpke Ste 150 , Commack NY 11725-2947. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jackson, Emily Rose can be contacted via phone (631) 600-1123.

Contact Information

Primary practice address
2171 Jericho Tpke Ste 150 Commack NY 11725-2947
Phone: (631) 600-1123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0858567 New York

Profile Details

NPI number 1366018335
LBN Legal business name Jackson, Emily Rose
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2021
Last updated Jun 1st, 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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