Individual
MRS. JESSENIA IVELISSE ZAPATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
9052 BORKEL PL, 1ST FLOOR, QUEENS VILLAGE, NY 11428-1319
(516) 424-2215
Mailing address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(516) 424-2215
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/25/2008
Last updated
09/17/2018
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