Smith, Jennifer
Smith, Jennifer is an individual health care provider with primary practice located at 12904 Newport Ave , Rockaway Park NY 11694-1617. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Jennifer can be contacted via phone (347) 523-5321.Contact Information
Primary practice address
12904 Newport Ave
Rockaway Park NY 11694-1617
Phone: (347) 523-5321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 015747-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | SI1005289 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00528900 | New Jersey |
Profile Details
| NPI number | 1982026100 |
|---|---|
| LBN Legal business name | Smith, Jennifer |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2014 |
| Last updated | Dec 2nd, 2022 - 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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