Individual provider · Type 1 NPI

Jennifer Bannen

Specialist · Middle Island, NY

NPI number 1225916331 Active

Practice location

PO Box 12
Middle Island, NY 11953-0012

Call (631) 924-0008 Map

Mailing address

138 Adams St E
East Islip, NY 11730-1623

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 1225916331

Jennifer Bannen's National Provider Identifier is 1225916331, issued on Aug 26, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middle Island, NY. The record was last updated on Aug 26, 2025.