Moldovan, Jennifer

Moldovan, Jennifer is an individual health care provider with primary practice located at 1045 W Jericho Tpke , Smithtown NY 11787-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moldovan, Jennifer can be contacted via phone (631) 543-8844.

Contact Information

Primary practice address
1045 W Jericho Tpke Smithtown NY 11787-3205
Phone: (631) 543-8844
Fax: (631) 543-8840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012498 New York

Profile Details

NPI number 1811160559
LBN Legal business name Moldovan, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Apr 30th, 2024 - about last year

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 1811160559 NPPES
New York Other 012498 LICENSE

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