Individual
JENNIFER LEIGH VONLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 924-3741
(631) 874-3786
Mailing address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 806-1215
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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