Moon, Jacqueline

Moon, Jacqueline is an individual health care provider with primary practice located at 368 Veterans Memorial Hwy , Commack NY 11725-4322. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moon, Jacqueline can be contacted via phone (631) 533-0315.

Contact Information

Primary practice address
368 Veterans Memorial Hwy Commack NY 11725-4322
Phone: (631) 533-0315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 012058 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1588011464
LBN Legal business name Moon, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated Apr 18th, 2024 - about 8 months 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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