Sambo, Jennifer Sue
Sambo, Jennifer Sue is an sole proprietor health care provider with primary practice located at 228 Wensley Ln , East Islip NY 11730-3516. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Sambo, Jennifer Sue can be contacted via phone (631) 650-7238.Contact Information
Primary practice address
228 Wensley Ln
East Islip NY 11730-3516
Phone: (631) 650-7238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 009504-1 | New York |
Profile Details
| NPI number | 1235285446 |
|---|---|
| LBN Legal business name | Sambo, Jennifer Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235285446 | NPPES |
| New York | Other | 009504-1 | OT LICENSE |
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