Mclane, Jennifer
Mclane, Jennifer is an individual health care provider with primary practice located at 260 N Little Tor Rd , New City NY 10956-2627. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mclane, Jennifer can be contacted via phone (845) 999-3060.Contact Information
Primary practice address
260 N Little Tor Rd
New City NY 10956-2627
Phone: (845) 999-3060
Fax: (845) 999-3059
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | F403969 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 340046 | New York |
Profile Details
NPI number | 1154791242 |
---|---|
LBN Legal business name | Mclane, Jennifer |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 1st, 2015 |
Last updated | Jun 17th, 2022 - about 2 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 | 1154791242 | NPPES |
New York | MEDICAID | 04691530 |
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