MARY JENSIS-CARLSON D P M; NPI #1508002783

Contact Information

MARY JENSIS-CARLSON D P M

637 WILLIS AVE
SUITE D
WILLISTON PARK, NY 11596-1154

Phone: 516-248-8188
Fax: 516-279-4610
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MARY JENSIS-CARLSON D P M

NPI # 1508002783

LBN Legal business name MARY JENSIS-CARLSON D P M

Authorized official MARY JENSIS-CARLSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/18/2008

Last updated 03/17/2009 - About 17 years ago

Identifiers

License #

N005090

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MARY JENSIS-CARLSON D P M

Contact Information

Specialty

Surgery, Foot

NPI Profile & details for MARY JENSIS-CARLSON D P M

Reviews for MARY JENSIS-CARLSON D P M