Petito, Jennifer

Petito, Jennifer is an sole proprietor health care provider with primary practice located at 59 Winnecomac Cir , Kings Park NY 11754-4608. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Petito, Jennifer can be contacted via phone (631) 269-7006.

Contact Information

Primary practice address
59 Winnecomac Cir Kings Park NY 11754-4608
Phone: (631) 269-7006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 566776-1 New York

Profile Details

NPI number 1225205446
LBN Legal business name Petito, Jennifer
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2008
Last updated May 15th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225205446 NPPES
New York Other 02841270 MEDICAID PROVIDER NUMBER

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