Organization
JABO AND JAELLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BEE GODOY BONDOC (PRESIDENT)
(347) 341-0772
Entity
Organization
Contact information
Practice address
8602 57TH AVE, ELMHURST, NY 11373-4838
(718) 446-9021
Mailing address
12512 135TH AVE # 2F, SOUTH OZONE PARK, NY 11420-3208
(347) 341-0772
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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