Brady, Jennifer Marie

Brady, Jennifer Marie is an sole proprietor health care provider with primary practice located at 555 Blooming Grove Tpke , New Windsor NY 12553-7843. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brady, Jennifer Marie can be contacted via phone (845) 527-2089.

Contact Information

Primary practice address
555 Blooming Grove Tpke New Windsor NY 12553-7843
Phone: (845) 527-2089
Fax: (845) 569-3011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0189121 New York

Profile Details

NPI number 1891025623
LBN Legal business name Brady, Jennifer Marie
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2009
Last updated Apr 14th, 2010 - about 15 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 1891025623 NPPES
New York MEDICAID 010958021

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