Ditommaso, Jenna

Ditommaso, Jenna is an sole proprietor health care provider with primary practice located at 4 Jones Ct , Massapequa Park NY 11762-3235. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ditommaso, Jenna can be contacted via phone (516) 633-5393.

Contact Information

Primary practice address
4 Jones Ct Massapequa Park NY 11762-3235
Phone: (516) 633-5393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X New York

Profile Details

NPI number 1417595257
LBN Legal business name Ditommaso, Jenna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2019
Last updated Dec 21st, 2020 - 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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