Individual
JESSICA LAUREN CALENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(315) 525-2024
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(315) 525-2024
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403104
NY
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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