Individual
DR. CYNTHIA C JACUNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
2805 STANLEY RD, MATTITUCK, NY 11952-2733
(631) 813-7094
Mailing address
2805 STANLEY RD, MATTITUCK, NY 11952-2733
(631) 813-7094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
538353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
538353
PUBLIC SCHOOL TEACHER CERTIFICATE
NY
Enumeration date
12/04/2012
Last updated
12/04/2012
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