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

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1356947311

Jennifer Tadlock is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elmont, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

40 Elmont Rd
Elmont, NY 11003-1603
Phone: (347) 542-5644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1356947311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020
Mailing address14202 20th Ave, Flushing, NY 11351-3000

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