Jensen, Mariel
Jensen, Mariel is an sole proprietor health care provider with primary practice located at 390 Montauk Hwy , West Islip NY 11795-4403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jensen, Mariel can be contacted via phone (631) 422-0700.Contact Information
Primary practice address
390 Montauk Hwy
West Islip NY 11795-4403
Phone: (631) 422-0700
Fax: (631) 422-0703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F382728-1 | New York |
Profile Details
| NPI number | 1790135523 |
|---|---|
| LBN Legal business name | Jensen, Mariel |
| Credentials | CPNP, DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2016 |
| Last updated | May 8th, 2018 - about 6 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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