Subashini Jesurasa

NPI #1316134430 in Glen Head, New York

Provider Information

NPI Number: 1316134430
Entity Type: Individual
Name: Subashini Jesurasa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Oct 2, 2007
Last Updated: May 24, 2010

Practice Location

Address: 189 WHEATLEY RD
City: Glen Head
State: New York
ZIP Code: 11545-2641
Phone: (516) 626-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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