Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Elliott

Individual provider Specialist · NPI 1083083356

Jennifer Elliott is a Specialist in Ronkonkoma, New York. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

463 Ontario St
Ronkonkoma, NY 11779-5109 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 220-4855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1083083356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESSeptember 17, 2015

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