Individual
MRS. JENNIFER M CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 NEPTUNE PL, MASSAPEQUA, NY 11758-7628
(516) 361-9748
Mailing address
79 RITA DR, EAST MEADOW, NY 11554-1326
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
10/16/2018
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