Jennifer Ann Egan, M.A.
Specialist in Commack, NY. Individual provider (NPI-1).
NPI number1447522073
StatusActive
Last updated in NPPESJan 27, 2012
Details
- NPI
- 1447522073
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Ann Egan
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2012
- Last updated
- Jan 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 683924961 | NY | Yes |
Practice location
39 Balsam LnCommack, NY 11725-1627
Phone 631-838-8053 · Fax 631-543-2633
Mailing address
39 Balsam LnCommack, NY 11725-1627
Phone 631-838-8053 · Fax 631-543-2633
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