Individual
JAYNE S NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
7 FOREST AVE, PORT JEFFERSON STATION, NY 11776-1803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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