Provider Demographics
NPI:1083886378
Name:ZUBECK, JENNETTE (NP, RN)
Entity Type:Individual
Prefix:MRS
First Name:JENNETTE
Middle Name:
Last Name:ZUBECK
Suffix:
Gender:F
Credentials:NP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-8537
Mailing Address - Country:US
Mailing Address - Phone:631-236-9663
Mailing Address - Fax:
Practice Address - Street 1:94 LOCUST DR
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8537
Practice Address - Country:US
Practice Address - Phone:631-236-9663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304726-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health