Provider Demographics
NPI:1346820651
Name:ONWE, JENNIFER (PT DPT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:ONWE
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 FRANKLIN CT APT F
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4434
Mailing Address - Country:US
Mailing Address - Phone:914-309-1420
Mailing Address - Fax:
Practice Address - Street 1:122 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-7718
Practice Address - Country:US
Practice Address - Phone:518-861-6608
Practice Address - Fax:518-861-6573
Is Sole Proprietor?:No
Enumeration Date:2021-04-11
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047120208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation