Individual provider · Type 1 NPI

Jessica Lynn Blydenburgh, DO

Family Medicine Physician · Port Jefferson, NY

NPI number 1144548918 Active

Practice location

125 Oakland Ave
Port Jefferson, NY 11777-2130

Call (631) 736-1311 Map

Fax (631) 736-1312

Mailing address

211 Cassa Loop
Holtsville, NY 11742-2610

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X270049 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1144548918

Jessica Lynn Blydenburgh, DO's National Provider Identifier is 1144548918, issued on May 4, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Aug 14, 2013.