Organization
JT BAGEN ENTERPRISES INC
Active
Other names
Transit Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY T BAGEN PMHNP (PRESIDENT)
(716) 706-5921
Entity
Organization
Contact information
Practice address
4721 TRANSIT ROAD, SUITE 23, LANCASTER, NY 14043
(716) 706-5921
(716) 706-5923
Mailing address
4721 TRANSIT ROAD, SUITE 23, LANCASTER, NY 14043-3610
(716) 706-5921
(716) 706-5923
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400997-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA1013
OTHER PROVIDER MEDICARE IDENTIFIER
NY
Enumeration date
02/09/2007
Last updated
05/05/2008
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