Godlewski, Jennifer Marie

Godlewski, Jennifer Marie is an sole proprietor health care provider with primary practice located at 5496 E Taft Rd , North Syracuse NY 13212-3773. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Godlewski, Jennifer Marie can be contacted via phone (315) 552-6700.

Contact Information

Primary practice address
5496 E Taft Rd North Syracuse NY 13212-3773
Phone: (315) 552-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 015166-1 New York

Profile Details

NPI number 1568567899
LBN Legal business name Godlewski, Jennifer Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jan 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568567899 NPPES
New York MEDICAID 03439278

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