Oswald, Jillian Marie

Oswald, Jillian Marie is an sole proprietor health care provider with primary practice located at 100 Port Washington Blvd , Roslyn NY 11576-1353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Oswald, Jillian Marie can be contacted via phone (516) 390-9640.

Contact Information

Primary practice address
100 Port Washington Blvd Roslyn NY 11576-1353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F304164 New York

Profile Details

NPI number 1699785667
LBN Legal business name Oswald, Jillian Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 16th, 2007 - about 17 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 1699785667 NPPES
New York MEDICAID 02735808

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