Jain, Jyotsna
Jain, Jyotsna is an sole proprietor health care provider with primary practice located at 2260 Victory Blvd , Staten Island NY 10314-6622. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jain, Jyotsna can be contacted via phone (718) 448-1622.Contact Information
Primary practice address
2260 Victory Blvd
Staten Island NY 10314-6622
Phone: (718) 448-1622
Fax: (718) 448-7906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV-005604-1 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | VUT005604-1 | New York |
Profile Details
| NPI number | 1932235603 |
|---|---|
| LBN Legal business name | Jain, Jyotsna |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Sep 25th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932235603 | NPPES |
| New York | Other | VUTOO5604-1 | LICENCE NUMBER NY |
| New York | MEDICAID | 01525364 | LICENCE NUMBER NY |
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