Jessica Decelian
Case Manager/Care Coordinator in Valley Stream, NY. Individual provider (NPI-1).
NPI number1164090593
StatusActive
Last updated in NPPESJun 13, 2021
Details
- NPI
- 1164090593
- Entity type
- Individual (NPI-1)
- Name
- Jessica Decelian
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 13, 2021
- Certification date
- Jun 13, 2021
- Last updated
- Jun 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
23 Marlow RdValley Stream, NY 11580-3705
Phone 516-884-7742
Mailing address
11208 204th StSaint Albans, NY 11412-2212
Phone 347-552-9351
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All 72 Case Manager/Care Coordinator providers in Valley Stream · All 2,560 providers in Valley Stream
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