Organization
JESSICA WAHL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WAHL (SPECIAL EDUCATION TEACHER)
(516) 359-6137
Entity
Organization
Contact information
Practice address
54 HOWARD PL, OCEANSIDE, NY 11572-1330
(516) 359-6137
Mailing address
54 HOWARD PL, ROCKVILLE CENTRE, NY 11572-1330
(516) 359-6137
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2365999
NY
Other
Enumeration date
05/20/2013
Last updated
06/18/2013
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