Individual
MS. JESSICA CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
157 ARNOLD AVE, WEST BABYLON, NY 11704-7219
(631) 671-2113
Mailing address
157 ARNOLD AVE, WEST BABYLON, NY 11704-7219
(631) 671-2113
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2400335
NY
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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