Lack, Jennifer
Lack, Jennifer is an individual health care provider with primary practice located at 7114 65Th Pl Apt 2R , Glendale NY 11385-6325. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Lack, Jennifer can be contacted via phone (347) 724-9390.Contact Information
Primary practice address
7114 65Th Pl Apt 2R
Glendale NY 11385-6325
Phone: (347) 724-9390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 002469-01 | New York |
Profile Details
| NPI number | 1699480749 |
|---|---|
| LBN Legal business name | Lack, Jennifer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | Jan 23rd, 2023 - about 2 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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