Individual
JENNA LAUREN SONNENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 ROUTE 25A STE C, SHOREHAM, NY 11786-1389
(631) 744-3303
(631) 744-1627
Mailing address
45 ROUTE 25A STE C, SHOREHAM, NY 11786-1389
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308262
NY
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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