Ninia, Jerry

Ninia, Jerry is an sole proprietor health care provider with primary practice located at 4 Roosevelt Ave , Port Jefferson Station NY 11776-3363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Ninia, Jerry can be contacted via phone (631) 331-0500.

Contact Information

Primary practice address
4 Roosevelt Ave Port Jefferson Station NY 11776-3363
Phone: (631) 331-0500
Fax: (631) 331-1644
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 174810 New York
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 174810 New York

Profile Details

NPI number 1457350795
LBN Legal business name Ninia, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Apr 27th, 2017 - about 7 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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