Individual
JILL ROTLEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SP. ED
Contact information
Practice address
2 ROOSEVELT AVE, SYOSSET, NY 11791-3064
(718) 309-2972
Mailing address
7935 214TH ST, BAYSIDE, NY 11364-3509
(718) 309-2972
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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