Individual
JAMIE DICHIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
60 SAINT NICHOLAS AVE, SMITHTOWN, NY 11787-1045
(631) 834-4807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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