Marollo, Jessica L
Marollo, Jessica L is an sole proprietor health care provider with primary practice located at 1203 Hilton Ave , Utica NY 13501-4149. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Marollo, Jessica L can be contacted via phone (315) 368-6414.Contact Information
Primary practice address
1203 Hilton Ave
Utica NY 13501-4149
Phone: (315) 368-6414
Fax: (315) 368-6444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 069542-1 | New York |
Profile Details
| NPI number | 1730498114 |
|---|---|
| LBN Legal business name | Marollo, Jessica L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2010 |
| Last updated | Oct 1st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730498114 | NPPES |
| New York | Other | 069542-1 | NEW YORK STATE DEPARTMENT OF EDUCATION OFFICE OF PROFESSIONS |
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