Individual
JESSICA SPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 TAMARACK LN, POMONA, NY 10970-2005
(917) 678-8240
Mailing address
21 TAMARACK LN, POMONA, NY 10970-2005
(917) 678-8240
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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