Jodi Fossner LLC

NPI #1568723443 in Tappan, New York

Provider Information

NPI Number: 1568723443
Entity Type: Organization
Organization Name: Jodi Fossner LLC
Primary Specialty: Specialist
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 16 HARDWOOD DR
City: Tappan
State: New York
ZIP Code: 10983-1109
Phone: (917) 459-7122

Authorized Official

Name: MR. JODI FOSSNER, MASTERS EDUCATION
Title: SPECIAL EDUCATION INSTRUCTOR
Phone: (917) 459-7122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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