Jessica Smith
Early Intervention Provider Agency in Forest Hills, NY. Individual provider (NPI-1).
NPI number1083171482
StatusActive
Last updated in NPPESFeb 22, 2019
Details
- NPI
- 1083171482
- Entity type
- Individual (NPI-1)
- Name
- Jessica Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2019
- Last updated
- Feb 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
7000 Austin St Ste 200Forest Hills, NY 11375-4739
Phone 718-762-7633
Mailing address
7000 Austin St Ste 200Forest Hills, NY 11375-4739
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