Provider Demographics
NPI:1770302960
Name:JAZZK ESSENTIALS
Entity type:Organization
Organization Name:JAZZK ESSENTIALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGARRO
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED WIG MAKER
Authorized Official - Phone:845-820-7468
Mailing Address - Street 1:112 HELEN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6638
Mailing Address - Country:US
Mailing Address - Phone:845-820-7468
Mailing Address - Fax:
Practice Address - Street 1:112 HELEN DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6638
Practice Address - Country:US
Practice Address - Phone:845-820-7468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty