Individual
DAGERSY JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 TOMPKINS ST, APARTMENT 1F, STATEN ISLAND, NY 10304-2639
(347) 722-2919
Mailing address
50 TOMPKINS ST, APARTMENT 1F, STATEN ISLAND, NY 10304-2639
(347) 722-2919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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