Provider Demographics
NPI:1366333866
Name:KSCHINKA, WHITNEY JORDAN
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JORDAN
Last Name:KSCHINKA
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3399 NORTH RD # 30210
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1350
Mailing Address - Country:US
Mailing Address - Phone:914-563-1175
Mailing Address - Fax:
Practice Address - Street 1:3399 NORTH RD # 30210
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1350
Practice Address - Country:US
Practice Address - Phone:914-563-1175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant