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Individual

MISS JENNI ANN ZAKARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
44 CONGRESS AVE, ROCHESTER, NY 14611-4045
(908) 956-3074
Mailing address
44 CONGRESS AVE, ROCHESTER, NY 14611-4045

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R0025
DELTA DENTAL
NJ
01
Y15600577
UMR
NJ
Enumeration date
05/15/2019
Last updated
05/15/2019
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