Individual provider · NPI-1
Jennifer Betourney, MD
· Forest Hills, NY
NPI number1679070122
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1679070122
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Betourney
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2018
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0001X | 321145 | NY | Yes |
Other names
- Jennifer Yoon (Former Name)
Practice location
9237 Metropolitan Ave Ste 101Forest Hills, NY 11375-6623
Phone 631-751-3000 · Fax 631-751-3000
Mailing address
1 Research RdRidge, NY 11961-2701
Phone 631-751-3000
Other practice locations
5 Perryridge Rd
Greenwich, CT 06830-4608
Greenwich, CT 06830-4608
Phone 203-863-3911
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