Smith, Jennifer

Smith, Jennifer is an individual health care provider with primary practice located at 12904 Newport Ave , Rockaway Park NY 11694-1617. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Jennifer can be contacted via phone (347) 523-5321.

Contact Information

Primary practice address
12904 Newport Ave Rockaway Park NY 11694-1617
Phone: (347) 523-5321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015747-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X SI1005289 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00528900 New Jersey

Profile Details

NPI number 1982026100
LBN Legal business name Smith, Jennifer
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Dec 2nd, 2022 - about 4 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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