Individual
MRS. JENNIFER HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 SHIVERTOWN RD, NEW PALTZ, NY 12561-3317
(845) 389-6946
(845) 474-7079
Mailing address
65 SHIVERTOWN RD, NEW PALTZ, NY 12561-3317
(845) 389-6946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1649664517
NY
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/08/2015
Last updated
01/20/2025
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