MISS JENNIFER SUSAN BLOODNICK B.S.
NPI 1245672062
Specialist in West Babylon, NY

Active since July 22, 2013
124 PLYMOUTH ST, WEST BABYLON, NY 11704(631) 523-1270 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About JENNIFER BLOODNICK

This page provides the complete NPI Profile along with additional information for Jennifer Bloodnick, a provider established in West Babylon, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1245672062 assigned on July 2013. The practitioner's primary taxonomy code is 174400000X with license number 1176723 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1245672062 Verify this NPI
Provider Name
MISS JENNIFER SUSAN BLOODNICK B.S.
Gender
Female
Entity Type
Individual
Location Address
124 PLYMOUTH ST WEST BABYLON, NY 11704
Location Phone
(631) 523-1270
Mailing Address
124 PLYMOUTH ST WEST BABYLON, NY 11704
Mailing Phone
(631) 523-1270
Is Sole Proprietor?
Yes
Enumeration Date
07-22-2013
Last Update Date
07-22-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
1176723
License State
NY
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245672062, enumerated as an "individual" on July 22, 2013.

The provider is located at 124 PLYMOUTH ST WEST BABYLON, NY 11704 and the phone number is (631) 523-1270.

Specialist with taxonomy code 174400000X.