Individual
JESSICA PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
682 DEGRAW ST, BROOKLYN, NY 11217-3113
(347) 419-6446
Mailing address
682 DEGRAW ST, BROOKLYN, NY 11217-3113
(347) 419-6446
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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