Individual
JESSICA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
70 LOCUST AVE APT B511, NEW ROCHELLE, NY 10801-7372
(914) 879-1023
Mailing address
70 LOCUST AVE APT B511, NEW ROCHELLE, NY 10801-7372
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/05/2023
Last updated
07/07/2023
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