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Individual

DR. JENNIFER ROSE FERETIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1110 SOUTH AVE, SUITE # 5, STATEN ISLAND, NY 10314-3403
(347) 273-1290
(718) 227-6007
Mailing address
1110 SOUTH AVE, SUITE # 5, STATEN ISLAND, NY 10314-3403
(347) 273-1290
(718) 227-6007

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
019048-1
NY

Other

Enumeration date
05/02/2011
Last updated
05/05/2013
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