Provider Demographics
NPI:1922237999
Name:FERRI, JENNIFER ALYSE (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALYSE
Last Name:FERRI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 TRIANGLE CTR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4104
Mailing Address - Country:US
Mailing Address - Phone:914-245-6138
Mailing Address - Fax:914-245-6154
Practice Address - Street 1:26 TRIANGLE CTR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4104
Practice Address - Country:US
Practice Address - Phone:914-245-6138
Practice Address - Fax:914-245-6154
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0007464152W00000X
NYTUV007464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0-3375615Medicaid