Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER GRACE WILEY
Active Sole ProprietorJENNIFER GRACE WILEY is a Specialist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1821351602 is currently active in the NPPES registry. Verify at CMS.
Specialist · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1821351602
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2012 (14.142104924718 yrs)
- Last Updated
- Jun 18, 2012
- License
-
899067 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 CENTER STLAKE RONKONKOMA, NY, 117794524Browse NY providers · Browse ZIP 11779
- Phone
- 6314283508
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KELLY TERESA MARVULLO | — | 1699022830 |
| MS. BRIENNE JAMIE ERB | — | 1427307800 |
| TARA JENSEN | — | 1992195408 |
| MS. EILEEN MARINO CLARK | MS | 1548632128 |
| PATRICIA AULETTA | — | 1881044071 |
| MRS. KRISTEN IRIS BUNZE | — | 1912720145 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.