Sta. Maria, Jaclyn Anne Nunez

Sta. Maria, Jaclyn Anne Nunez is an individual health care provider with primary practice located at 2 Centerock Rd , West Nyack NY 10994-2215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sta. Maria, Jaclyn Anne Nunez can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
2 Centerock Rd West Nyack NY 10994-2215
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 276147 New York

Profile Details

NPI number 1740625631
LBN Legal business name Sta. Maria, Jaclyn Anne Nunez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Oct 16th, 2020 - about 4 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 1740625631 NPPES
New York MEDICAID 03917599

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