Search › New York › 174400000X
Jenna Archer
NPI 1639044787 · on the registry since 2025 · sole proprietor
Practice
- Address
- 479 Kirkby Rd
Elmont, NY 11003 - Phone
- (516) 499-4905
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-08
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