Kohoutek, Jessica Suzanne
Kohoutek, Jessica Suzanne is an sole proprietor health care provider with primary practice located at 1143 47Th Ave , Long Island City NY 11101-5418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kohoutek, Jessica Suzanne can be contacted via phone (718) 551-3515.Contact Information
Primary practice address
1143 47Th Ave
Long Island City NY 11101-5418
Phone: (718) 551-3515
Fax: (718) 551-3580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381673 | New York |
Profile Details
| NPI number | 1700092913 |
|---|---|
| LBN Legal business name | Kohoutek, Jessica Suzanne |
| Credentials | CPNP, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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