JENNIFER MOLDOVAN P.A. NPI 1811160559

NPI Information

NPI: 1811160559
Provider Name: JENNIFER MOLDOVAN, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2500 NESCONSET HWY
BUILDING 3C
STONY BROOK, NY
ZIP 11790
Phone: (631) 751-2400
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Jennifer Moldovan, P.A. is a medical physician assistant in Stony Brook, NY. Jennifer Moldovan, P.A. NPI is 1811160559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NESCONSET HWY
BUILDING 3C
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 751-2400
Fax: (631) 751-8323

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	012498	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	012498	OTHER	NEW YORK	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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