Individual
MRS. CARRIE S JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SP ED
Contact information
Practice address
686 JEFFERSON ST, WEST HEMPSTEAD, NY 11552-3518
(516) 489-7279
Mailing address
686 JEFFERSON ST, WEST HEMPSTEAD, NY 11552-3518
(516) 489-7279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
706956
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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