Individual
JESSICA MAE ORENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Mailing address
248 W 108TH ST, NEW YORK, NY 10025-2956
(212) 663-3000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P103172
NY
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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