Doctor Name: | MRS. JENNETTE ZUBECK |
NPI Number: | 1083886378 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP, RN |
License Number: | F304726-1 |
Business Practice Address: | 94 Locust Dr Rocky Point, NY - 117788537 |
Business Phone Number: | 6312369663 |
Business Fax Number: | |
Mailing Address: | 94 Locust Dr, ROCKY POINT |
State: | NY |
Postal Code: | 117788537 |
Phone Number: | 6312369663 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F304726-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |