# JERANJEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316341936
- **Authorized official:** MS. ANDREA MARIANA SARPONG MED (SPECIAL EDUCATION TEACHER (OWNER))
- **Authorized official phone:** (551) 574-6662

## Contact information

- **Practice address:** 3470 SEYMOUR AVE, APT 1B, BRONX, NY 10469-2136
- **Practice address phone:** (551) 574-6662
- **Mailing address:** 3470 SEYMOUR AVE, APT 1B, BRONX, NY 10469-2136
- **Mailing address phone:** (551) 574-6662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 637552121 | NY | Yes |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014