Individual
JESSICA HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 RADCLIFF DR, EAST NORWICH, NY 11732-1228
(516) 724-5230
Mailing address
155 RADCLIFF DR, EAST NORWICH, NY 11732-1228
(516) 724-5230
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
359339
NY
Other
Enumeration date
03/09/2014
Last updated
03/09/2014
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