Individual
KADDY JAITEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 GRAND CONCOURSE, SUITE 701, BRONX, NY 10453-8202
(718) 733-6100
Mailing address
1775 GRAND CONCOURSE, SUITE 701, BRONX, NY 10453-8202
(718) 733-6100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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