Individual
MS. JENNIFER MICHELLE DIMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPED
Contact information
Practice address
188 SNEDEN AVE, STATEN ISLAND, NY 10312
(917) 923-0419
Mailing address
188 SNEDEN AVE, STATEN ISLAND, NY 10312-3628
(917) 923-0419
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
856704
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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