Wentz, Jacqueline

Wentz, Jacqueline is an individual health care provider with primary practice located at 450 Lakeville Rd , New Hyde Park NY 11042. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wentz, Jacqueline can be contacted via phone (516) 734-8500.

Contact Information

Primary practice address
450 Lakeville Rd New Hyde Park NY 11042
Phone: (516) 734-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 605752 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F343519-1 New York

Profile Details

NPI number 1245719897
LBN Legal business name Wentz, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 19th, 2018 - about 6 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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