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Contact Information

JACQUELINE WENTZ
450 LAKEVILLE RD
NEW HYDE PARK, NY11042
 Phone: 516-734-8500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JACQUELINE WENTZ · (Female)

NPI Number 1245719897
Status Active
Credentials
Entity Individual
Enumeration date 08/13/2018
Last updated 08/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 605752
  • NY License # F343519-1
Hospital affiliation(s)
  • LENOX HILL HOSPITAL - (Acute Care)
    100 EAST 77TH STREET
    NEW YORK, NY 10021
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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