Organization
JENNY T BAGEN
Active
Parent organization
JT BAGEN ENTERPRISES, INC
Other names
Transit Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
JT BAGEN ENTERPRISES, INC
Authorized official
MS. JENNY THERESA BAGEN PMHNP (PSYCHIATRIC NP AND OWNER)
(716) 706-5921
Entity
Organization
Contact information
Practice address
4711 TRANSIT RD STE 3, DEPEW, NY 14043-4888
(716) 706-5921
(716) 706-5923
Mailing address
4711 TRANSIT RD STE 3, DEPEW, NY 14043-4888
(716) 706-5921
(716) 706-5923
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
F400997
NY
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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