Jensis- Carlson, Mary L.

Jensis- Carlson, Mary L. is an sole proprietor health care provider with primary practice located at 637 Willis Ave Suite A, Williston Park NY 11596-1154. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is her primary health care specialty. Jensis- Carlson, Mary L. can be contacted via phone (516) 248-8188.

Contact Information

Primary practice address
637 Willis Ave Suite A Williston Park NY 11596-1154
Phone: (516) 248-8188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005090 New York
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005090 New York

Profile Details

NPI number 1851494165
LBN Legal business name Jensis- Carlson, Mary L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Mar 26th, 2009 - about 16 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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