Jerez, Jose Rafael

Jerez, Jose Rafael is an individual health care provider with primary practice located at 3959 Broadway Columbia University Department Pediatrics, New York NY 10032-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Jerez, Jose Rafael can be contacted via phone (212) 304-7250.

Contact Information

Primary practice address
3959 Broadway Columbia University Department Pediatrics New York NY 10032-1559
Phone: (212) 304-7250
Fax: (212) 544-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 159415 New York

Profile Details

NPI number 1174582159
LBN Legal business name Jerez, Jose Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 3rd, 2013 - about 11 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 1174582159 NPPES
New York MEDICAID 00844899

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