Jacob, Diana Rachel

Jacob, Diana Rachel is an individual health care provider with primary practice located at 655 Middle Country Rd , Selden NY 11784-2520. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jacob, Diana Rachel can be contacted via phone (631) 974-6121.

Contact Information

Primary practice address
655 Middle Country Rd Selden NY 11784-2520
Phone: (631) 974-6121
Fax: (631) 580-5450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 056108 New York

Profile Details

NPI number 1619257342
LBN Legal business name Jacob, Diana Rachel
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 14 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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