Individual
JENNIFER DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 345-0083
Mailing address
298 MOUNT VERNON AVE, MEDFORD, NY 11763-3113
(631) 786-7610
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-4300
NY
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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