Organization
JMPETERKIN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE M PETERKIN MSED, SLP (SPEECH PATHOLOGIST/OWNER)
(718) 324-3813
Entity
Organization
Contact information
Practice address
3886 AMUNDSON AVE, BRONX, NY 10466-5921
(718) 324-3813
Mailing address
3886 AMUNDSON AVE, BRONX, NY 10466-5921
(718) 324-3813
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
022656-1
NY
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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