Search › New York › 103K00000X
Jennifer Lack
NPI 1699480749 · on the registry since 2023
Practice
- Address
- 7114 65th Pl Apt 2r
Glendale, NY 11385 - Phone
- (347) 724-9390
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York