Individual
JENICE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(347) 252-7133
Mailing address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(347) 252-7133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/09/2023
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