Individual
MRS. JESSICA MARIE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 QUEENS BLVD, 9S, FOREST HILLS, NY 11375-3637
(347) 279-9089
Mailing address
10440 QUEENS BLVD, 9S, FOREST HILLS, NY 11375-3637
(347) 279-9089
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/22/2013
Last updated
12/18/2014
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