Kugaczewski, Jane T

Kugaczewski, Jane T is an sole proprietor health care provider with primary practice located at 701 Route 25A Ste A5 , Mount Sinai NY 11766-2050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Kugaczewski, Jane T can be contacted via phone (631) 689-5695.

Contact Information

Primary practice address
701 Route 25A Ste A5 Mount Sinai NY 11766-2050
Phone: (631) 689-5695
Fax: (631) 689-3073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 169901 New York

Profile Details

NPI number 1578665543
LBN Legal business name Kugaczewski, Jane T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2006
Last updated May 9th, 2017 - about 8 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 1578665543 NPPES
New York MEDICAID 01623138

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