Individual
MRS. JENNIFER LULEEN DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 VETERANS HWY, HAUPPAUGE, NY 11788
(631) 366-3876
(631) 366-3898
Mailing address
200 GREENE AVE, SAYVILLE, NY 11782-3056
(631) 750-3779
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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