Pallickal, Jaisa Joseph

Pallickal, Jaisa Joseph is an individual health care provider with primary practice located at 75 Broad St 0815, New York NY 10004-2415. 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. Pallickal, Jaisa Joseph can be contacted via phone (718) 391-0611.

Contact Information

Primary practice address
75 Broad St 0815 New York NY 10004-2415
Phone: (718) 391-0611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 305563 New York

Profile Details

NPI number 1003254657
LBN Legal business name Pallickal, Jaisa Joseph
Credentials MSN ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Jun 5th, 2013 - about 11 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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