Jacob, Shiny

Jacob, Shiny is an sole proprietor health care provider with primary practice located at 1 Healthy Way Cardiology, Oceanside NY 11572-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Jacob, Shiny can be contacted via phone (516) 632-4260.

Contact Information

Primary practice address
1 Healthy Way Cardiology Oceanside NY 11572-1551
Fax: (516) 766-3857
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F307619-1 New York

Profile Details

NPI number 1235586892
LBN Legal business name Jacob, Shiny
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2016
Last updated May 24th, 2016 - about 8 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.

Request for update

Popular Providers