Perez, Jake Thomas

Perez, Jake Thomas is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. He recently has only one registered license in Nursing Service Providers / Infection Control, which is considered as his primary health care specialty. Perez, Jake Thomas can be contacted via phone (718) 667-2651.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infection Control 163WI0600X 721580 New York

Profile Details

NPI number 1215798525
LBN Legal business name Perez, Jake Thomas
Credentials MSN, RN, CIC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2024
Last updated Feb 21st, 2024 - about 10 months 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 1215798525 NPPES
New York MEDICAID 2997157

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