Individual
JENNIFER ANNE STASUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 N GATE RD, CARMEL, NY 10512-2214
(347) 408-7150
Mailing address
6 N GATE RD, CARMEL, NY 10512-2214
(347) 408-7150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2817201
NY
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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