Individual
JANA GALE VENGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7875 ALBANY POST RD, RED HOOK, NY 12571-2147
(845) 758-8101
(845) 758-8102
Mailing address
7875 ALBANY POST ROAD, RED HOOK, NY 12571
(845) 594-5229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F400818-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400818-1
NYS NP LICENSE
NY
Enumeration date
08/17/2005
Last updated
03/07/2023
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