Organization
JERANJEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA MARIANA SARPONG MED (SPECIAL EDUCATION TEACHER (OWNER))
(551) 574-6662
Entity
Organization
Contact information
Practice address
3470 SEYMOUR AVE, APT 1B, BRONX, NY 10469-2136
(551) 574-6662
Mailing address
3470 SEYMOUR AVE, APT 1B, BRONX, NY 10469-2136
(551) 574-6662
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
637552121
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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