Individual
MRS. JENNIFER BEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
464 ROUTE 17A, FLORIDA, NY 10921-1014
(845) 651-2245
Mailing address
13 RIDGEFIELD RD, WARWICK, NY 10990-3544
(845) 988-1595
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
139251021
NY
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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