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Contact Information

JENNIFER C VINCENT, PA
1500 ASTOR AVE
LBBY 1E
BRONX, NY10469-5900
 Phone: 718-652-0003
 Fax: 718-652-0815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER C VINCENT · (Female)

NPI # 1912902701
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/17/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 007190
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
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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