Individual
JESSICA SIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SMITHS LN, COMMACK, NY 11725-3510
(631) 543-2338
Mailing address
PO BOX 2853, HUNTINGTON STATION, NY 11746-0679
(516) 462-0378
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
607828
NY
Other
Enumeration date
09/16/2022
Last updated
12/30/2022
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