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

Jennifer Aydee Fuentes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164257994

Jennifer Aydee Fuentes is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1448 5th Ave
Bay Shore, NY 11706-4147
Phone: (631) 647-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1164257994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 3, 2024
Last updated in NPPESAugust 10, 2025
Certification dateAugust 10, 2025

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