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Individual

JENNIFER SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
155 E WOODSIDE AVE STE B, PATCHOGUE, NY 11772-1421
(631) 758-6565
(631) 758-6568
Mailing address
155 E WOODSIDE AVE STE B, PATCHOGUE, NY 11772-1421
(631) 758-6565
(631) 758-6568

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
381624
NY

Other

Enumeration date
06/16/2010
Last updated
02/09/2025
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