Individual
ANDREW J JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 W 110TH ST, NEW YORK, NY 10025-2083
(646) 648-3643
Mailing address
515 W 110TH ST, NEW YORK, NY 10025-2083
(646) 648-3643
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126713-01
NY
Other
Enumeration date
11/11/2025
Last updated
01/07/2026
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