Pasquale, Jack Angelo
Pasquale, Jack Angelo is an sole proprietor health care provider with primary practice located at 7303 198Th St , Fresh Meadows NY 11366-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pasquale, Jack Angelo can be contacted via phone (718) 465-0041.Contact Information
Primary practice address
7303 198Th St
Fresh Meadows NY 11366-1818
Phone: (718) 465-0041
Fax: (718) 465-4224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 164513-1 | New York |
Profile Details
| NPI number | 1033276464 |
|---|---|
| LBN Legal business name | Pasquale, Jack Angelo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | May 18th, 2010 - about 15 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 | 1033276464 | NPPES |
| New York | MEDICAID | 02330909 | |
| New York | Other | 2243778 |
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