Individual
JENNIFER GOVERNALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
(917) 681-1940
Mailing address
125 EAST BETHPAGE ROAD, PLAINVIEW, NY 11803
(917) 681-1940
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/27/2013
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