Individual
MRS. JILLIAN FAITH FEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 GARRETSON AVE, STATEN ISLAND, NY 10305-1234
(646) 334-3270
Mailing address
242 GARRETSON AVE, STATEN ISLAND, NY 10305-1234
(646) 334-3270
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1793634242
NY
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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