Rogak, Jennifer Laura

Rogak, Jennifer Laura is an individual health care provider with primary practice located at 8 Westwood Ave , Stony Brook NY 11790-2837. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rogak, Jennifer Laura can be contacted via phone (516) 313-5556.

Contact Information

Primary practice address
8 Westwood Ave Stony Brook NY 11790-2837
Phone: (516) 313-5556
Fax: (631) 751-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R052561-1 New York

Profile Details

NPI number 1699769570
LBN Legal business name Rogak, Jennifer Laura
Credentials LCSW R
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 15th, 2018 - about 8 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 1699769570 NPPES
New York MEDICAID 02561360

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