MISS Jennifer Susan Bloodnick, B.S.

NPI #1245672062 in West Babylon, New York

Provider Information

NPI Number: 1245672062
Entity Type: Individual
Name: MISS Jennifer Susan Bloodnick, B.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: B.S.
Enumeration Date: Jul 22, 2013
Last Updated: Jul 22, 2013

Practice Location

Address: 124 PLYMOUTH ST
City: West Babylon
State: New York
ZIP Code: 11704-8115
Phone: (631) 523-1270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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