Jadoo, Tannika

Jadoo, Tannika is an sole proprietor health care provider with primary practice located at 10205 Davenport Ct , Howard Beach NY 11414-3936. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Jadoo, Tannika can be contacted via phone (718) 696-8256.

Contact Information

Primary practice address
10205 Davenport Ct Howard Beach NY 11414-3936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1891220893
LBN Legal business name Jadoo, Tannika
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2017
Last updated May 10th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891220893 NPPES
New York MEDICAID 17

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