Individual
JENNY M VICIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
267 HEWES ST, BROOKLYN, NY 11211-8111
(718) 218-7890
Mailing address
267 HEWES ST, BROOKLYN, NY 11211-8111
(718) 218-7890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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