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NPI Code Detail

MEDICARE: JENNIFER ANNE VREENEGOOR M.S.

MEDICARE:   JENNIFER ANNE VREENEGOOR  M.S.
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
1235Z00000XSpeech-Language Pathologist017229-1NY

General Provider Information

NPI Number : 1457582298
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANNE VREENEGOOR M.S.
Provider Business Mailing Address
First Line : 7115 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2105
Country : US
Telephone Number : 718-232-0685
Fax Number :
Provider Business Practice Location Address
First Line : 7115 15TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2105
Country : US
Telephone Number : 718-232-0685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2009
Last Update Date : 11/28/2016

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Directions to “ JENNIFER ANNE VREENEGOOR M.S.” Practice Location

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