Individual
JEANNA CROCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 E 148TH ST, BRONX, NY 10455-4128
(718) 585-0600
Mailing address
21109 73RD AVE, OAKLAND GARDENS, NY 11364-2849
(917) 456-7015
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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