Zosimo, Jake

Zosimo, Jake is an individual health care provider with primary practice located at 299 Hallock Ave , Port Jefferson Station NY 11776-1217. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Zosimo, Jake can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
299 Hallock Ave Port Jefferson Station NY 11776-1217
Phone: (631) 473-4284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1992575922
LBN Legal business name Zosimo, Jake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2024
Last updated Jan 2nd, 2024 - about last year

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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