Small, Jennifer W

Small, Jennifer W is an individual health care provider with primary practice located at 5916 174Th St , Fresh Meadows NY 11365-1539. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Small, Jennifer W can be contacted via phone (917) 841-9256.

Contact Information

Primary practice address
5916 174Th St Fresh Meadows NY 11365-1539
Phone: (917) 841-9256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X F342248-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 342248 New York

Profile Details

NPI number 1619441748
LBN Legal business name Small, Jennifer W
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2019
Last updated Jan 27th, 2023 - 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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