Provider Demographics
NPI:1699021253
Name:FOX, JENNIFER ELANA (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ELANA
Last Name:FOX
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 FURLONG DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2217
Mailing Address - Country:US
Mailing Address - Phone:518-859-7511
Mailing Address - Fax:
Practice Address - Street 1:597 3RD AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12182-2509
Practice Address - Country:US
Practice Address - Phone:518-233-0544
Practice Address - Fax:518-233-0703
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY734896174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist