Individual provider · Type 1 NPI

Jennifer Michelle Patrick

Specialist · Port Jefferson Station, NY

NPI number 1083435952 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

80 Ecker Ave
West Babylon, NY 11704-6504

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083435952

Jennifer Michelle Patrick's National Provider Identifier is 1083435952, issued on Oct 22, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 22, 2024.