Doctor Name: | MRS. JENNIFER BIDDLE |
NPI Number: | 1558622514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS ED |
License Number: | 298462596 |
Business Practice Address: | 34 Jeanne Dr Newburgh, NY - 125501701 |
Business Phone Number: | 8455647790 |
Business Fax Number: | |
Mailing Address: | 189 Seward Rd, NEW HAMPTON |
State: | NY |
Postal Code: | 109583917 |
Phone Number: | 8453558025 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 298462596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |