Individual
JENNIFER C SEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
292 SHADE TREE LANE, AQUEBOGUE, NY 11931
(631) 727-8050
(631) 727-8110
Mailing address
292 SHADE TREE LANE, PO BOX 2668, AQUEBOGUE, NY 11931
(631) 727-8050
(631) 727-8110
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002102
NYS LICENSE
NY
01
—
5750868
NYS REG CERTIFICATE
NY
Enumeration date
08/01/2006
Last updated
03/30/2015
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