Jessica Laura Hettler in Lynbrook - Specialist
Jessica Laura Hettler - NPI 1225104656
Jessica Laura Hettler is a Specialist in Lynbrook, New York. Jessica Laura Hettler practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jessica Laura Hettler is 1225104656. The last update date is 2021-04-27.
Jessica Laura Hettler's current location address is 200 Atlantic Ave, Lynbrook, New York. You can contact this provider via phone number 5166417364. The mailing address for Jessica Laura Hettler is 200 Atlantic Ave, Lynbrook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Laura Hettler |
|---|---|
| Address | 200 Atlantic Ave, Lynbrook, New York |
| Phone Number | 5166417364 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DPT, ATC, |
NPI Number Detail
| NPI Number | 1225104656 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 200 Atlantic Ave |
|---|---|
| City | Lynbrook |
| State | New York (NY) |
| Post Code | 115633511 |
| Phone Number | 5166417364 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 26463 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Jessica Laura Hettler by the Centers for Medicare & Medicaid Services?
The Jessica Laura Hettler has been issued the NPI (National Provider Identifier) 1225104656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jessica Laura Hettler is geographically located?
The Jessica Laura Hettler is physically situated at the following location: 200 Atlantic Ave, Lynbrook, NY, 115633511.
What is Jessica Laura Hettler's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Laura Hettler is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Jessica Laura Hettler receive the assignment of its 1225104656 from the Centers for Medicare & Medicaid Services?
The Jessica Laura Hettler was issued its 1225104656 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the Jessica Laura Hettler's details last updated?
The information pertaining to the Jessica Laura Hettler, including its address, specialty, and other details, was most recently updated on 2021-04-27.
NPI Number: 1023011681
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