Jessica Jean

NPI #1942602016 in Rosedale, New York

Provider Information

NPI Number: 1942602016
Entity Type: Individual
Name: Jessica Jean
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 20, 2014
Last Updated: Aug 18, 2020

Practice Location

Address: 23932 148TH AVE
City: Rosedale
State: New York
ZIP Code: 11422-3259
Phone: (347) 249-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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