Individual
ERIKA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
Mailing address
3719 AVENUE D, BROOKLYN, NY 11203-5607
(917) 331-9614
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
1843100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22423
PROVIDER ID
NY
Enumeration date
01/17/2019
Last updated
01/17/2019
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