MEDICARE: JACQUELINE BEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	262301-1	NY

General Provider Information

NPI Number	:	1275872798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE BEST

Provider Business Mailing Address
First Line	:	34 W SIDNEY AVE
Second Line	:
City	:	MOUNT VERNON
State	:	NY
Zip	:	10550-1952
Country	:	US
Telephone Number	:	914-665-0398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1139 MANOR AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-3942
Country	:	US
Telephone Number	:	646-382-6261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2013
Last Update Date	:	02/04/2013

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Directions to “ JACQUELINE BEST ” Practice Location

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