Individual
JESSICA C GIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS MEMORIAL HWY, HAUPPAUGE, NY 11788-3046
(631) 366-3876
Mailing address
20 OCEANVIEW AVE, FARMINGVILLE, NY 11738-1936
(631) 384-7914
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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