MS. JENNIFER JOHANNA REIDINGER - NPI 1255197257 - Substance Abuse Rehabilitation Facility in Staten Island, NY

Q: What is the provider's specialty?

The provider's specialty is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Ms. Jennifer Johanna Reidinger NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER JOHANNA REIDINGER (NPI 1255197257) is an individual substance abuse rehabilitation facility provider in Staten Island, New York and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1255197257

Entity TypeIndividualFemale

Primary Taxonomy324500000X

Provider Legal NameMS. JENNIFER JOHANNA REIDINGER

Location Address220 HEBERTON AVEStaten Island, NY 10302-1415

Mailing Address336 Penn AveStaten Island, NY 10306-4612 · (347) 938-0440

Phone(718) 448-1900

Sole ProprietorYes

Enumeration DateFebruary 27, 2024

Last NPPES UpdateMarch 8, 2024

NPPES CertifiedMarch 8, 2024

✔ NPI 1255197257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

220 HEBERTON AVE, Staten Island, NY 10302

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