Individual
CHRISTY MELINDA JEAN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 67TH ST, BROOKLYN, NY 11219-5921
(718) 306-5626
Mailing address
26 STRATFORD RD, BROOKLYN, NY 11218-2704
(917) 287-0393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021152
NY
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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