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Jennifer Street
NPI 1154699940 · on the registry since 2011 · sole proprietor
Practice
- Address
- 9076 North Rd
Bridgeport, NY 13030 - Phone
- (315) 687-2280
- Fax
- (315) 687-2281
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 251300000X
251300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York