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
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 432092 (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.