NPI 1255197257

Jennifer Johanna Reidinger

Practitioner Substance Abuse Rehabilitation Facility Staten Island, NY

Practice location

Address: 220 Heberton Ave, Staten Island, NY 10302-1415
Phone: (718) 448-1900
Mailing address: 336 Penn Ave, Staten Island, NY 10306-4612

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in New York →

Registry record

NPI: 1255197257
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2024
Record last updated: 8 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.