Jerath, Shivani

Jerath, Shivani is an individual health care provider with primary practice located at 4143 Crescent St , Long Island City NY 11101-3805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jerath, Shivani can be contacted via phone (718) 784-2240.

Contact Information

Primary practice address
4143 Crescent St Long Island City NY 11101-3805
Phone: (718) 784-2240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 79638 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 296959 New York

Profile Details

NPI number 1952784274
LBN Legal business name Jerath, Shivani
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Feb 11th, 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.

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