JENNIFER GRACE WILEY
NPI 1821351602
Specialist in Lake Ronkonkoma, NY
- Individual
- Female
- Specialist
About JENNIFER WILEY
This page provides the complete NPI Profile along with additional information for Jennifer Wiley, a provider established in Lake Ronkonkoma, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1821351602 assigned on June 2012. The practitioner's primary taxonomy code is 174400000X with license number 899067 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1821351602 Verify this NPI
- Provider Name
- JENNIFER GRACE WILEY
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10 CENTER ST LAKE RONKONKOMA, NY 11779
- Location Phone
- (631) 428-3508
- Mailing Address
- 10 CENTER ST LAKE RONKONKOMA, NY 11779
- Mailing Phone
- (631) 428-3508
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2012
- Last Update Date
- 06-18-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 899067
- License State
- NY
- Taxonomy Description
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821351602, enumerated as an "individual" on June 18, 2012.
The provider is located at 10 CENTER ST LAKE RONKONKOMA, NY 11779 and the phone number is (631) 428-3508.
Specialist with taxonomy code 174400000X.
