Nocera, Jina Bae
Nocera, Jina Bae is an individual health care provider with primary practice located at 154 Lafayette St , Palatine Bridge NY 13428-9715. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Nocera, Jina Bae can be contacted via phone (518) 673-5212.Contact Information
Primary practice address
154 Lafayette St
Palatine Bridge NY 13428-9715
Phone: (518) 673-5212
Fax: (518) 673-4337
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 224602 | New York |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME110184 | Florida |
Profile Details
NPI number | 1538105887 |
---|---|
LBN Legal business name | Nocera, Jina Bae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Nov 27th, 2019 - about 5 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 | 1538105887 | NPPES |
Massachusetts | MEDICAID | 3205029 | |
Massachusetts | Other | P00995221 | |
Massachusetts | MEDICAID | 1013986 | |
Massachusetts | MEDICAID | 02257876 | |
Massachusetts | Other | P00371407 |
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