1932743762 NPI number — ROSMERY JAIKARAN

Table of content: DR. ROBERT FRANCIS MARCIN O.D. (NPI 1568510683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932743762 NPI number — ROSMERY JAIKARAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JAIKARAN
Provider First Name:
ROSMERY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932743762
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10450 102ND ST APT 2E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OZONE PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11417-2204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
929-354-1829
Provider Business Mailing Address Fax Number:
929-244-7394

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10450 102ND ST APT 2E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OZONE PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11417-2204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
929-354-1829
Provider Business Practice Location Address Fax Number:
929-244-7394
Provider Enumeration Date:
11/05/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)