Individual
MS. JESSICA I VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2897 DUDLEY AVE FL 1, BRONX, NY 10461-5647
(718) 513-1747
Mailing address
2897 DUDLEY AVE FL 1, BRONX, NY 10461-5647
(718) 513-1747
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
644461121
NY
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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