Individual
JESSICA ANN PIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 44TH ST, ISLIP, NY 11751-1717
(631) 383-9530
Mailing address
56 44TH ST, ISLIP, NY 11751-1717
(631) 383-9530
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
09/01/2021
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