Keluskar, Jennifer Lynn

Keluskar, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 37 Research Way , East Setauket NY 11733-3465. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Keluskar, Jennifer Lynn can be contacted via phone (631) 444-4660.

Contact Information

Primary practice address
37 Research Way East Setauket NY 11733-3465
Phone: (631) 444-4660
Fax: (631) 444-4339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 019292 New York

Profile Details

NPI number 1225269681
LBN Legal business name Keluskar, Jennifer Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2009
Last updated Jan 16th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225269681 NPPES
New York Other WVE061 AGENCY MEDICARE #
New York Other 1285628552 AGENCY MEDICARE #
New York Other 00355940 AGENCY MEDICARE #

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