Individual
MS. JENNIFER L BAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11821 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7206
(631) 352-8245
Mailing address
11 CRAWFORD CT, HUNTINGTON STATION, NY 11746-1502
(631) 352-8245
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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