Wilken, Jennifer

Wilken, Jennifer is an individual health care provider with primary practice located at 156 Route 59 Suite C6, Suffern NY 10901-5005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Wilken, Jennifer can be contacted via phone (845) 369-4200.

Contact Information

Primary practice address
156 Route 59 Suite C6 Suffern NY 10901-5005
Phone: (845) 369-4200
Fax: (201) 661-7297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 213470 New York

Profile Details

NPI number 1376587519
LBN Legal business name Wilken, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 22nd, 2013 - about 11 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 1376587519 NPPES
New York MEDICAID 02223352

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