Kokoszka, Jason

Kokoszka, Jason is an individual health care provider with primary practice located at 922 Jay Dr , North Bellmore NY 11710-1038. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Kokoszka, Jason can be contacted via phone (516) 324-9301.

Contact Information

Primary practice address
922 Jay Dr North Bellmore NY 11710-1038
Phone: (516) 324-9301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 725728 New York

Profile Details

NPI number 1811560436
LBN Legal business name Kokoszka, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2021
Last updated Jul 21st, 2021 - about 3 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 1811560436 NPPES
New York MEDICAID 725728

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