Individual
MS. JACLYN WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E BETHPAGE RD STE 5, PLAINVIEW, NY 11803-4228
(516) 731-5588
Mailing address
121 OLIVE DR, LYNBROOK, NY 11563-2908
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/30/2012
Last updated
12/11/2017
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