Hotaling, Jennifer

Hotaling, Jennifer is an sole proprietor health care provider with primary practice located at 56 Clifton Country Rd Ste 104 , Clifton Park NY 12065-3995. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hotaling, Jennifer can be contacted via phone (518) 581-7260.

Contact Information

Primary practice address
56 Clifton Country Rd Ste 104 Clifton Park NY 12065-3995
Phone: (518) 581-7260
Fax: (518) 633-1218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014917 New York

Profile Details

NPI number 1720006265
LBN Legal business name Hotaling, Jennifer
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Sep 4th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720006265 NPPES
New York MEDICAID 02757055

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