Kohoutek, Jessica Suzanne

Kohoutek, Jessica Suzanne is an sole proprietor health care provider with primary practice located at 1143 47Th Ave , Long Island City NY 11101-5418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kohoutek, Jessica Suzanne can be contacted via phone (718) 551-3515.

Contact Information

Primary practice address
1143 47Th Ave Long Island City NY 11101-5418
Phone: (718) 551-3515
Fax: (718) 551-3580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381673 New York

Profile Details

NPI number 1700092913
LBN Legal business name Kohoutek, Jessica Suzanne
Credentials CPNP, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 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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