Burdish, Jennifer

Burdish, Jennifer is an sole proprietor health care provider with primary practice located at 3 Norton Ave , Port Jefferson Station NY 11776-4402. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Burdish, Jennifer can be contacted via phone (631) 831-6988.

Contact Information

Primary practice address
3 Norton Ave Port Jefferson Station NY 11776-4402
Phone: (631) 831-6988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 742427131 New York
Agencies / Community/Behavioral Health 251S00000X 926923151 New York
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24856 New York

Profile Details

NPI number 1669921722
LBN Legal business name Burdish, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2016
Last updated Mar 3rd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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