MRS. Jessica Beth Brock, MS
NPI #1356909360 in East Islip, New York
Provider Information
- NPI Number
- 1356909360
- Entity Type
- Individual
- Name
- MRS. Jessica Beth Brock, MS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Credential
- MS
- Enumeration Date
- Jun 4, 2019
- Last Updated
- Jun 4, 2019
Practice Location
- Address
- 42 GWENDOLYN PL
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-3220
- Phone
- (631) 525-3202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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