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MRS. JENNIFER MARIE AVALLONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
493 GENESEE AVE, STATEN ISLAND, NY 10312-3205
(718) 227-0295
Mailing address
493 GENESEE AVE, STATEN ISLAND, NY 10312-3205
(718) 227-0295

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
019678-1
NY

Other

Enumeration date
07/19/2010
Last updated
07/19/2010
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