Provider Demographics
NPI:1043505712
Name:JENNIFER AULETA INC
Entity type:Organization
Organization Name:JENNIFER AULETA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:AULETA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-314-6984
Mailing Address - Street 1:23 WESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-2600
Mailing Address - Country:US
Mailing Address - Phone:516-314-6984
Mailing Address - Fax:
Practice Address - Street 1:23 WESTWOOD LN
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NY
Practice Address - Zip Code:11797-2600
Practice Address - Country:US
Practice Address - Phone:516-314-6984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy