Individual
MRS. JESSICA ELAINE ADELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
998 CROOKED HILL RD, BLDG#69, BRENTWOOD, NY 11717-1019
(631) 761-4186
(631) 761-4184
Mailing address
998 CROOKED HILL RD, BLDG#69, BRENTWOOD, NY 11717-1019
(631) 761-4186
(631) 761-4184
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01175277
—
NY
Enumeration date
05/18/2009
Last updated
08/06/2010
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