Samghabadi, Jennifer M
Samghabadi, Jennifer M is an sole proprietor health care provider with primary practice located at 15 Gary St , Port Jefferson Station NY 11776-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Samghabadi, Jennifer M can be contacted via phone (631) 241-1613.Contact Information
Primary practice address
15 Gary St
Port Jefferson Station NY 11776-2805
Phone: (631) 241-1613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F336553 | New York |
Profile Details
| NPI number | 1881963502 |
|---|---|
| LBN Legal business name | Samghabadi, Jennifer M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2011 |
| Last updated | Dec 27th, 2011 - about 13 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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