Individual
MRS. JENNIFER FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
640 BELLE TERRE RD BLDG J, PORT JEFFERSON, NY 11777-1936
(631) 828-5361
Mailing address
640 BELLE TERRE RD BLDG J, PORT JEFFERSON, NY 11777-1936
(631) 828-5361
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
013997-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261Q00000X
LMT
—
Enumeration date
02/16/2023
Last updated
02/16/2023
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