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
Phone: (518) 783-3110
Fax: (518) 783-7506
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649530684 | NPPES |
| New York | Other | 120827000152 | FIDELIS CARE NY |
| New York | MEDICAID | 03474664 | FIDELIS CARE NY |
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