Jessup, Todd P

Jessup, Todd P is an individual health care provider with primary practice located at 61 Emerald Pl , Rock Hill NY 12775-6049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jessup, Todd P can be contacted via phone (845) 794-6999.

Contact Information

Primary practice address
61 Emerald Pl Rock Hill NY 12775-6049
Phone: (845) 794-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 235870 New York

Profile Details

NPI number 1144202979
LBN Legal business name Jessup, Todd P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Sep 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144202979 NPPES
New York MEDICAID 02675730

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