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NPI Code Detail

MEDICARE: MS. JENNIFER L ENG LMSW

MEDICARE: MS. JENNIFER L ENG LMSW
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
11041C0700XClinical Social Worker069276NY

General Provider Information

NPI Number : 1174513923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER L ENG LMSW
Provider Business Mailing Address
First Line : 402 DAUB AVE
Second Line :
City : HEWLETT
State : NY
Zip : 11557-1105
Country : US
Telephone Number : 516-319-0110
Fax Number :
Provider Business Practice Location Address
First Line : 2277 GRAND AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-3148
Country : US
Telephone Number : 516-546-1370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 07/08/2007

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Directions to “ MS. JENNIFER L ENG LMSW” Practice Location

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