Orfanos, Jackie P
Orfanos, Jackie P is an sole proprietor health care provider with primary practice located at 700 Old Country Rd Suite 200, Plainview NY 11803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Orfanos, Jackie P can be contacted via phone (516) 681-5801.Contact Information
Primary practice address
700 Old Country Rd Suite 200
Plainview NY 11803
Phone: (516) 681-5801
Fax: (516) 681-5861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 180070 | New York |
Profile Details
| NPI number | 1548250715 |
|---|---|
| LBN Legal business name | Orfanos, Jackie P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Feb 9th, 2015 - about 10 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 | 1548250715 | NPPES |
| New York | MEDICAID | 01429969 |
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