Individual
JILLIAN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
30 MANHATTAN AVE, WHITE PLAINS, NY 10607-1329
(914) 761-6134
Mailing address
30 MANHATTAN AVE, WHITE PLAINS, NY 10607-1329
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
EI20070906
NY
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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