Kondolf-Duba, Jennifer Ann

Kondolf-Duba, Jennifer Ann is an individual health care provider with primary practice located at 96 W Gibson St , Canandaigua NY 14424-1453. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kondolf-Duba, Jennifer Ann can be contacted via phone (585) 396-3930.

Contact Information

Primary practice address
96 W Gibson St Canandaigua NY 14424-1453
Phone: (585) 396-3930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 002008-1 New York

Profile Details

NPI number 1609158823
LBN Legal business name Kondolf-Duba, Jennifer Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2011
Last updated Sep 14th, 2011 - about 13 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 1609158823 NPPES
New York MEDICAID 638130116

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