Individual
JENNA MIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
374 ARBUCKLE AVE, CEDARHURST, NY 11516-1304
(516) 503-4023
Mailing address
374 ARBUCKLE AVE, CEDARHURST, NY 11516-1304
(516) 503-4023
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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