Nastasi, Jennifer Ann
Nastasi, Jennifer Ann is an individual health care provider with primary practice located at 2799 Route 112 Ste 11 , Medford NY 11763-2535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nastasi, Jennifer Ann can be contacted via phone (631) 732-5222.Contact Information
Primary practice address
2799 Route 112 Ste 11
Medford NY 11763-2535
Phone: (631) 732-5222
Fax: (631) 732-6222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 228056 | New York |
Profile Details
| NPI number | 1174630263 |
|---|---|
| LBN Legal business name | Nastasi, Jennifer Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Sep 27th, 2016 - about 8 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 | 1174630263 | NPPES |
| New York | MEDICAID | 02971039 |
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