Spitzer, Jaclyn Rose

Spitzer, Jaclyn Rose is an individual health care provider with primary practice located at 1 Tamarack Rd , Port Chester NY 10573-2407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Spitzer, Jaclyn Rose can be contacted via phone (914) 934-5211.

Contact Information

Primary practice address
1 Tamarack Rd Port Chester NY 10573-2407
Phone: (914) 934-5211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 339288 New York

Profile Details

NPI number 1578964680
LBN Legal business name Spitzer, Jaclyn Rose
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Feb 9th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578964680 NPPES
New York MEDICAID 04090891

Popular Providers