Individual
JENNIFER UTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2527 MERRICK RD, BELLMORE, NY 11710-5708
(516) 409-9211
(516) 409-9250
Mailing address
2527 MERRICK RD, BELLMORE, NY 11710-5708
(516) 409-9211
(516) 409-9250
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
227186-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2527
RELATED SERVICES
NY
01
—
409
RELATED SERVICES
NY
Enumeration date
09/30/2019
Last updated
09/30/2019
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