Individual
DR. JENNIFER ANNE DE MUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2759 CRESCENT ST, ASTORIA, NY 11102-4292
(347) 838-1797
Mailing address
2759 CRESCENT ST, ASTORIA, NY 11102-4292
(347) 838-1797
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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