Mcquade, Jaclyn Danielle

Mcquade, Jaclyn Danielle is an individual health care provider with primary practice located at 1171 Old Country Rd , Plainview NY 11803-5022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcquade, Jaclyn Danielle can be contacted via phone (516) 931-4343.

Contact Information

Primary practice address
1171 Old Country Rd Plainview NY 11803-5022
Phone: (516) 931-4343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 015707 New York

Profile Details

NPI number 1356606800
LBN Legal business name Mcquade, Jaclyn Danielle
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Feb 25th, 2016 - about 9 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 1356606800 NPPES
New York MEDICAID 03789273

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