Blydenburgh, Jessica Lynn
Blydenburgh, Jessica Lynn is an individual health care provider with primary practice located at 125 Oakland Ave , Port Jefferson NY 11777-2130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blydenburgh, Jessica Lynn can be contacted via phone (631) 736-1311.Contact Information
Primary practice address
125 Oakland Ave
Port Jefferson NY 11777-2130
Phone: (631) 736-1311
Fax: (631) 736-1312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 270049 | New York |
Profile Details
| NPI number | 1144548918 |
|---|---|
| LBN Legal business name | Blydenburgh, Jessica Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2010 |
| Last updated | Aug 14th, 2013 - about 11 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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