Vasconez, Jennifer

Vasconez, Jennifer is an sole proprietor health care provider with primary practice located at 30 Cragmere Rd , Airmont NY 10901-7520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vasconez, Jennifer can be contacted via phone (872) 231-3162.

Contact Information

Primary practice address
30 Cragmere Rd Airmont NY 10901-7520
Phone: (872) 231-3162
Fax: (702) 977-1496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 343828 New York

Profile Details

NPI number 1144791013
LBN Legal business name Vasconez, Jennifer
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2018
Last updated Nov 25th, 2025 - about last year

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 1144791013 NPPES
New York MEDICAID 06302203

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