Provider Demographics
NPI:1841958501
Name:SINOPOLI, JENNA LYNN
Entity type:Individual
Prefix:MS
First Name:JENNA
Middle Name:LYNN
Last Name:SINOPOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JENNA
Other - Middle Name:LYNN
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, AGPCNP-BC, APRN
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:516-351-5294
Mailing Address - Fax:
Practice Address - Street 1:151 E 85TH ST APT 8K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-8103
Practice Address - Country:US
Practice Address - Phone:516-351-5294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310583363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY310583OtherNY STATE LICENSE - NURSE PRACTITIONER IN ADULT HEALTH