Pitt, Jacqueline Maxcine

Pitt, Jacqueline Maxcine is an sole proprietor health care provider with primary practice located at 133 Maryland Ave , Freeport NY 11520-1318. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Pitt, Jacqueline Maxcine can be contacted via phone (516) 379-7689.

Contact Information

Primary practice address
133 Maryland Ave Freeport NY 11520-1318
Phone: (516) 379-7689
Fax: (516) 379-7689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 447495 New York

Profile Details

NPI number 1316111859
LBN Legal business name Pitt, Jacqueline Maxcine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 16 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 1316111859 NPPES
New York MEDICAID 02759768

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