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Jaclyn Mae Chotowicky
Acute Care Nurse Practitioner in Riverhead, New York
NPI 1104591437

Jaclyn Mae Chotowicky is an Acute Care Nurse Practitioner based in New Hyde Park, NY and is specialized in Acute Care. Jaclyn Mae Chotowicky practices in Riverhead, NY. The NPI Number for Jaclyn Mae Chotowicky is 1104591437 and holds a License No. 432092 (New York).

The current practice location address for Jaclyn Mae Chotowicky is 1300 Roanoke Ave, Riverhead, NY and can be reached out via phone at 516-661-1721.

Location: 1300 Roanoke Ave, Riverhead, NY, 11040-7501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104591437
Provider Name
Jaclyn Mae Chotowicky
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 Roanoke Ave, Riverhead, NY, 11040-7501
Phone Number
516-661-1721
Fax Number
Provider Enumeration Date
08/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
516-661-1721
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Roanoke Ave
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
516-661-1721
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
432092 (New York)
Definition
Definition to come...
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