Individual provider · Type 1 NPI

Jennifer Kies, M.S.E.D

Specialist · Hauppauge, NY

NPI number 1790048122 Active

Practice location

49 Wireless Blvd, Suite 170
Hauppauge, NY 11788-3965

Call (631) 382-7311 Map

Fax (631) 382-7311

Mailing address

24 Peartree Ln
Huntington Station, NY 11746-4016

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X8464 (NY)
Specialist Primary 174400000X8464 (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 1790048122

Jennifer Kies, M.S.E.D's National Provider Identifier is 1790048122, issued on Jun 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hauppauge, NY. The record was last updated on Jun 20, 2012.