Provider Demographics
NPI:1952557522
Name:D'ORAZIO, JENNIFER JENNINGS (DNP)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JENNINGS
Last Name:D'ORAZIO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:STEPHANIE
Other - Last Name:JENNINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:350 CENTRAL PARK W APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-8842
Mailing Address - Country:US
Mailing Address - Phone:917-405-0775
Mailing Address - Fax:646-918-6263
Practice Address - Street 1:350 CENTRAL PARK W APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8842
Practice Address - Country:US
Practice Address - Phone:917-405-0775
Practice Address - Fax:646-918-6263
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4011422084P0800X
NYF4011421363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty