Individual provider · Type 1 NPI
Andrea Jensen
Specialist · Staten Island, NY
NPI number
1720404049
Active
Practice location
153 Beach Rd
Staten Island, NY 10312-6201
Mailing address
153 Beach Road
Staten Island, NY 10312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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 1720404049
Andrea Jensen's National Provider Identifier is 1720404049, issued on Mar 11, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 11, 2014.