Moises, Marie Jacqueline
Moises, Marie Jacqueline is an individual health care provider with primary practice located at 21517 Jamaica Ave , Queens Village NY 11428-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moises, Marie Jacqueline can be contacted via phone (718) 740-3106.Contact Information
Primary practice address
21517 Jamaica Ave
Queens Village NY 11428-1715
Phone: (718) 740-3106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 151357 | New York |
Profile Details
| NPI number | 1023070513 |
|---|---|
| LBN Legal business name | Moises, Marie Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 25th, 2018 - about 6 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 | 1023070513 | NPPES |
| New York | MEDICAID | 01163859 |
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