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:
Health care specialties
Specialty | Code | License # | 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 15 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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