NPI 1710814199

Jennifer Dutton

Practitioner Peer Specialist Mastic, NY

Practice location

Address: 1235 Montauk Hwy, Mastic, NY 11950-2917
Phone: (631) 345-0083
Mailing address: 298 Mount Vernon Ave, Medford, NY 11763-3113

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence NYCPS-4300 (NY)

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Registry record

NPI: 1710814199
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2026
Record last updated: 7 May 2026

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.