Individual
MRS. JENNIFER MEG TRISTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6000
Mailing address
110 SCOTT ST, MASSAPEQUA PARK, NY 11762-3541
(516) 798-5180
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
503104931
NY
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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