Individual provider · Type 1 NPI

Jaclyn Mae Chotowicky

Acute Care Nurse Practitioner · Riverhead, NY

NPI number 1104591437 Active

Practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Mailing address

PO Box 3501
New Hyde Park, NY 11040-7501

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X432092 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104591437

Jaclyn Mae Chotowicky's National Provider Identifier is 1104591437, issued on Aug 10, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Riverhead, NY. The record was last updated on Sep 9, 2021.