Vosburgh, Jennifer Haley

Vosburgh, Jennifer Haley is an individual health care provider with primary practice located at 711 Troy Schenectady Rd Suite 101, Latham NY 12110-2442. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Vosburgh, Jennifer Haley can be contacted via phone (518) 783-3110.

Contact Information

Primary practice address
711 Troy Schenectady Rd Suite 101 Latham NY 12110-2442
Fax: (518) 783-7506
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382302 New York
Nursing Service Providers / Registered Nurse 163W00000X 577026 New York

Profile Details

NPI number 1649530684
LBN Legal business name Vosburgh, Jennifer Haley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated May 19th, 2014 - about 12 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 1649530684 NPPES
New York Other 120827000152 FIDELIS CARE NY
New York MEDICAID 03474664 FIDELIS CARE NY

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