Koscelnak, Jessica Ann
Koscelnak, Jessica Ann is an individual health care provider with primary practice located at 40 Mitchell Avenue , Binghamton NY 13903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koscelnak, Jessica Ann can be contacted via phone (607) 772-0639.Contact Information
Primary practice address
40 Mitchell Avenue
Binghamton NY 13903
Phone: (607) 772-0639
Fax: (607) 722-4610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 334804 | New York |
Profile Details
| NPI number | 1053388801 |
|---|---|
| LBN Legal business name | Koscelnak, Jessica Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jan 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053388801 | NPPES |
| New York | MEDICAID | 02728150 |
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