Malinowski, Jill C

Malinowski, Jill C is an individual health care provider with primary practice located at 5100 W Taft Rd Ste 4D , Liverpool NY 13088-3810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Malinowski, Jill C can be contacted via phone (315) 458-6669.

Contact Information

Primary practice address
5100 W Taft Rd Ste 4D Liverpool NY 13088-3810
Phone: (315) 458-6669
Fax: (315) 299-5983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 333731 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F333731 New York

Profile Details

NPI number 1497740542
LBN Legal business name Malinowski, Jill C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 5th, 2023 - about 3 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 1497740542 NPPES
New York MEDICAID 02406742

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