Sulkow, Jennifer

Sulkow, Jennifer is an individual health care provider with primary practice located at 6 Executive Park Dr , Albany NY 12203-3791. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sulkow, Jennifer can be contacted via phone (518) 482-9111.

Contact Information

Primary practice address
6 Executive Park Dr Albany NY 12203-3791
Phone: (518) 482-9111
Fax: (518) 482-6142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4879021 New York

Profile Details

NPI number 1659346427
LBN Legal business name Sulkow, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1659346427 NPPES
New York Other 000499324001 BLUE SHIELD OF NORTHEASTE
New York Other 4123605 BLUE SHIELD OF NORTHEASTE

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