Individual provider · Type 1 NPI
Jennifer Ann Stock
Specialist · Patchogue, NY
NPI number
1710249768
Active
Practice location
58 Prince St
Patchogue, NY 11772-1063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 564486051 (NY) |
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 1710249768
Jennifer Ann Stock's National Provider Identifier is 1710249768, issued on Jun 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Patchogue, NY. The record was last updated on Jun 14, 2012.