Healthcare Provider Details

I. General information

NPI: 1760645626
Provider Name (Legal Business Name): JENNIFER LYNNE OYER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 VETERANS AVE BATH VA MEDICAL CENTER
BATH NY
14810
US

IV. Provider business mailing address

1140 WILLEY RD
ARKPORT NY
14807-9545
US

V. Phone/Fax

Practice location:
  • Phone: 607-664-4000
  • Fax:
Mailing address:
  • Phone: 607-295-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number052494-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: