National Provider Identifier
Jay Allen Supnick, PH.D.
Jay Allen Supnick, PH.D. is listed in the NPPES registry with a primary specialty of Psychologist in Rochester, NY and a listed phone number of (585) 424-5680.
Profile Overview
- NPI
- 1699717280
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- June 11, 2006
- Last Updated
- February 24, 2011
Practice Location
- 448 White Spruce Blvd
- Rochester, NY 14623-1608
Phone: (585) 424-5680
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1699717280
- Entity Type
- Individual
- Last Name
- Supnick
- First Name
- Jay
- Middle Name
- Allen
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 448 White Spruce Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-1608
- Mailing Country
- US
- Mailing Phone
- (585) 424-5680
- Practice Street Address
- 448 White Spruce Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-1608
- Practice Country
- US
- Practice Phone
- (585) 424-5680
- Enumeration Date
- June 11, 2006
- Last Updated
- February 24, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)