Individual
JASMINE ANN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 JOHN HANCOCK CT, NEW WINDSOR, NY 12553-5015
(845) 863-4011
Mailing address
5000 JOHN HANCOCK CT, NEW WINDSOR, NY 12553-5015
(845) 863-4011
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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