Madrid, Jessica N

Madrid, Jessica N is an sole proprietor health care provider with primary practice located at 504 Merrick Rd Apt 3G , Lynbrook NY 11563-2304. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Madrid, Jessica N can be contacted via phone (516) 754-0430.

Contact Information

Primary practice address
504 Merrick Rd Apt 3G Lynbrook NY 11563-2304
Phone: (516) 754-0430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 059483-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1669826707
LBN Legal business name Madrid, Jessica N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2016
Last updated Oct 4th, 2017 - about 7 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.

Request for update

Popular Providers