Blitz, Jennifer

Blitz, Jennifer is an sole proprietor health care provider with primary practice located at 111 Smithtown Byp Suite 121, Hauppauge NY 11788-2524. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blitz, Jennifer can be contacted via phone (631) 742-8523.

Contact Information

Primary practice address
111 Smithtown Byp Suite 121 Hauppauge NY 11788-2524
Phone: (631) 742-8523
Fax: (631) 979-0438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 013716 New York

Profile Details

NPI number 1013031483
LBN Legal business name Blitz, Jennifer
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Jan 25th, 2008 - about 16 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 1013031483 NPPES
New York Other P3479888 OXFORD HEALTH PLANS
New York Other 041691 OXFORD HEALTH PLANS

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