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Contact Information

JELLYBEAN EI INC.
13524 96TH ST
OZONE PARK, NY11417
 Phone: 347-784-7984
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for JELLYBEAN EI INC.

NPI Number 1871085696
LBN Legal business name JELLYBEAN EI INC.
Authorized official HARRY AZCONA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2018
Last updated 11/01/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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