Individual
JENNIFER GILDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
6421 79TH ST, MIDDLE VILLAGE, NY 11379-2307
(917) 903-5079
Mailing address
6421 79TH ST, MIDDLE VILLAGE, NY 11379-2307
(917) 903-5079
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
848113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9022034702
EMBLEM GHI
NY
Enumeration date
04/06/2022
Last updated
04/06/2022
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