Monna, Jennifer

Monna, Jennifer is an individual health care provider with primary practice located at 6692 Middle Rd Suite 2100, Sodus NY 14551-9602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Monna, Jennifer can be contacted via phone (315) 483-1199.

Contact Information

Primary practice address
6692 Middle Rd Suite 2100 Sodus NY 14551-9602
Phone: (315) 483-1199
Fax: (315) 483-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 016128 New York

Profile Details

NPI number 1851643936
LBN Legal business name Monna, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2012
Last updated Apr 3rd, 2017 - about 9 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 1851643936 NPPES
New York MEDICAID 03521455

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