Jennifer Beitz
Individual provider Active NPI Early Intervention Provider Agency · Florida, NY
NPI 1235375239 · NPPES record last updated Dec 21, 2008
Key facts
- NPI
- 1235375239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 139251021 (NY)
- Practice address
- 464 Route 17a
Florida, NY 10921-1014 - Phone
- (845) 651-2245
- NPI assigned
- Dec 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139251021 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 139251021 | NY | Yes |
Addresses
Primary practice location
464 Route 17a
Florida, NY 10921-1014
Mailing address
13 Ridgefield Rd
Warwick, NY 10990-3544
Phone (845) 988-1595
Other providers in Florida, NY
- Janet K Acker
- Victoria Avidano
- Shannon Barbariantz
- Alison Beattie
- Beth Anne McLean Counseling
- Katerina Bremer
- Camille Angela Brygidyr
- Clare Patrice Buchalski
- Krista Lynn Cameron
All providers in Florida, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.