Provider Demographics
NPI:1962700641
Name:BILENKIY, JENNIFER GLAZER (DPT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:GLAZER
Last Name:BILENKIY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CORTLAND RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1626
Mailing Address - Country:US
Mailing Address - Phone:914-584-6852
Mailing Address - Fax:
Practice Address - Street 1:22 CORTLAND RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1626
Practice Address - Country:US
Practice Address - Phone:914-584-6852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022453-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist