Individual
JENNIFER VINCITORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
480 BEDFORD RD BLDG B, CHAPPAQUA, NY 10514-1715
(914) 244-8762
Mailing address
480 BEDFORD RD BLDG B, CHAPPAQUA, NY 10514-1715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116164
CT
163W00000X
Registered Nurse
637357
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
7122
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2017
Last updated
03/03/2023
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