Individual
JAZMIN HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139 S 14TH AVE, MOUNT VERNON, NY 10550-2811
(914) 663-9060
Mailing address
139 S 14TH AVE, MOUNT VERNON, NY 10550-2811
(914) 663-9060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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