Martin, Jacqueline E

Martin, Jacqueline E is an sole proprietor health care provider with primary practice located at 13 Avenue Louise , Massapequa Park NY 11762-3207. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Martin, Jacqueline E can be contacted via phone (516) 236-3984.

Contact Information

Primary practice address
13 Avenue Louise Massapequa Park NY 11762-3207
Phone: (516) 236-3984
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 006357 New York

Profile Details

NPI number 1114208089
LBN Legal business name Martin, Jacqueline E
Credentials MS, RD, CDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2011
Last updated Sep 6th, 2011 - about 13 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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