Petrasanta, Jaclyn

Petrasanta, Jaclyn is an sole proprietor health care provider with primary practice located at 14245 58Th Rd , Flushing NY 11355-5310. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Petrasanta, Jaclyn can be contacted via phone (203) 241-9133.

Contact Information

Primary practice address
14245 58Th Rd Flushing NY 11355-5310
Phone: (203) 241-9133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2838236 New York

Profile Details

NPI number 1851803563
LBN Legal business name Petrasanta, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Nov 3rd, 2017 - about 7 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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