Individual
MRS. JENICE NICOLETTE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATOR
Contact information
Practice address
33 ELIZABETH ST, STATEN ISLAND, NY 10310-1933
(646) 567-8635
Mailing address
33 ELIZABETH ST, STATEN ISLAND, NY 10310-1933
(646) 567-8635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251300000X
Local Education Agency (LEA)
Primary
820674
NY
Other
Enumeration date
10/15/2020
Last updated
11/28/2020
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