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Contact Information

JINGLE CANDELASA
800 VICTORY BLVD. APT 5L
STATEN ISLAND, NY10301
 Phone: 646-455-7125
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JINGLE CANDELASA · (Female)

NPI # 1053738542
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2014
Last updated 03/24/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 031426-1
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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