Knaub, Jenny

Knaub, Jenny is an individual health care provider with primary practice located at 1279 E Main St , Riverhead NY 11901-2583. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Knaub, Jenny can be contacted via phone (631) 727-2100.

Contact Information

Primary practice address
1279 E Main St Riverhead NY 11901-2583
Phone: (631) 727-2100
Fax: (631) 727-2646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F301562 New York

Profile Details

NPI number 1255357588
LBN Legal business name Knaub, Jenny
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Mar 24th, 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 1255357588 NPPES
New York MEDICAID 03178883

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