MEDICARE: JENNIFER MATHURIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1134072549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MATHURIN

Provider Business Mailing Address
First Line	:	290 NASSAU RD
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-4327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 HIGH ST
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-7605
Country	:	US
Telephone Number	:	631-423-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ JENNIFER MATHURIN ” Practice Location

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