institution
Jt Bagen Enterprises Inc
Psychiatric/Mental Health Nurse Practitioner in Lancaster, New York
NPI 1992846497

Jt Bagen Enterprises Inc is a Psychiatric/Mental Health Nurse Practitioner based in Lancaster, NY and is specialized in Psychiatric/Mental Health. Jt Bagen Enterprises Inc practices in Lancaster, NY. The NPI Number for Jt Bagen Enterprises Inc is 1992846497 and holds a License No. F400997-1 (New York).

The current practice location address for Jt Bagen Enterprises Inc is 4721 Transit Road, Lancaster, NY and can be reached out via phone at 716-706-5921 and via fax at 716-706-5923.

Location: 4721 Transit Road, Lancaster, NY, 14043-3610
institution
Provider Profile Details
NPI Number
1992846497
Provider Name
Jt Bagen Enterprises Inc
Credential
Provider Entity Type
Organization
Address
4721 Transit Road, Lancaster, NY, 14043-3610
Phone Number
716-706-5921
Fax Number
716-706-5923
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BA1013 01 NY OTHER PROVIDER MEDICARE IDENTIFIER
institution
Provider Business Practice Location Address Details
Address
4721 Transit Road
City
State
Zip
14043
Phone Number
716-706-5921
Fax Number
716-706-5923
person
Provider Business Mailing Address Details
Address
4721 Transit Road
City
State
Zip
14043
Phone Number
716-706-5921
Fax Number
716-706-5923
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
F400997-1 (New York)
Definition
Definition to come...
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