Individual
JESSICA L DE PETRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S,, CGC
Contact information
Practice address
256 MASON AVE, BUILDING B, 2ND FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-6230
(718) 226-1247
Mailing address
256 MASON AVE, BUILDING B, 2ND FLOOR, STATEN ISLAND, NY 10305-3408
(718) 226-6230
(718) 226-1247
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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