| Jaeger Nutrition, Llc | |
|
3280 Sunrise Hwy Jaeger Nutrition # 258 Wantagh NY 11793 | |
| (516) 405-0242 | |
| Not Available |
| Full Name | Jaeger Nutrition, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3280 Sunrise Hwy, Wantagh, New York |
| Authorized Official Name and Position | Jessica Lynne Jaeger (OWNER) |
| Authorized Official Contact | 5164050242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaeger Nutrition, Llc 3280 Sunrise Hwy Jaeger Nutrition # 258 Wantagh NY 11793 Ph: (516) 405-0242 | Jaeger Nutrition, Llc 3280 Sunrise Hwy Jaeger Nutrition # 258 Wantagh NY 11793 Ph: (516) 405-0242 |
| NPI Number | 1457014011 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457014011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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