Longmire, Jacqueline

Longmire, Jacqueline is an individual health care provider with primary practice located at 3720 74Th St Fl 3 , Jackson Heights NY 11372-6338. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Longmire, Jacqueline can be contacted via phone (718) 426-6222.

Contact Information

Primary practice address
3720 74Th St Fl 3 Jackson Heights NY 11372-6338
Phone: (718) 426-6222
Fax: (718) 426-6222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2-21933 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21933 New York

Profile Details

NPI number 1275047292
LBN Legal business name Longmire, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Nov 29th, 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 1275047292 NPPES
New York MEDICAID 0000000

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