Jacob, Keziah Elsa

Jacob, Keziah Elsa is an individual health care provider with primary practice located at 53-11 Roosevelt Ave , Queens NY 11377. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Jacob, Keziah Elsa can be contacted via phone (718) 255-6355.

Contact Information

Primary practice address
53-11 Roosevelt Ave Queens NY 11377
Phone: (718) 255-6355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 068595 New York

Profile Details

NPI number 1922768290
LBN Legal business name Jacob, Keziah Elsa
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2021
Last updated Jan 24th, 2023 - about 2 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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