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Contact Information

JACLYN C ABRAHALL, FNP-C, CDCES
200 MOTOR PKWY STE C-16
HAUPPAUGE, NY11788-5114
 Phone: 631-638-4933
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JACLYN C ABRAHALL · (Female)

NPI Number 1972036333
Status Active
Credentials FNP-C, CDCES
Entity Individual
Enumeration date 04/04/2017
Last updated 01/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 343035
  • NY License # 695786
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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