Individual
MRS. JENNIFERC LEYENDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 ADAIR CT, MALVERNE, NY 11565-1006
(516) 599-5230
Mailing address
67 ADAIR CT, MALVERNE, NY 11565-1006
(516) 599-5230
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
585445051
NY
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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