Pothen, Jennifer

Pothen, Jennifer is an individual health care provider with primary practice located at 1 Dakota Dr Ste 218 , New Hyde Park NY 11042-1136. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pothen, Jennifer can be contacted via phone (516) 488-9700.

Contact Information

Primary practice address
1 Dakota Dr Ste 218 New Hyde Park NY 11042-1136
Phone: (516) 488-9700
Fax: (516) 488-8826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52266 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 315296 New York

Profile Details

NPI number 1255772307
LBN Legal business name Pothen, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2024 - about 2 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 1255772307 NPPES
Connecticut MEDICAID 008046940
Connecticut MEDICAID 07530096

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