Elliott, Jennifer

Elliott, Jennifer is an individual health care provider with primary practice located at 463 Ontario St , Ronkonkoma NY 11779-5109. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Elliott, Jennifer can be contacted via phone (631) 220-4855.

Contact Information

Primary practice address
463 Ontario St Ronkonkoma NY 11779-5109
Phone: (631) 220-4855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1083083356
LBN Legal business name Elliott, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2015
Last updated Sep 17th, 2015 - 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.

Request for update

Popular Providers