Koblenzer, Jude Ann
Koblenzer, Jude Ann is an individual health care provider with primary practice located at 2215 Burdett Ave , Troy NY 12180. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Koblenzer, Jude Ann can be contacted via phone (518) 270-3094.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 305614 | New York |
Profile Details
| NPI number | 1811294036 |
|---|---|
| LBN Legal business name | Koblenzer, Jude Ann |
| Credentials | ANP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2011 |
| Last updated | Aug 21st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811294036 | NPPES |
| New York | MEDICAID | 03326767 |
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