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Individual

JENNIFER SACKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8908 15TH AVE, 2ND FLOOR, BROOKLYN, NY 11228-3901
(917) 548-3322
Mailing address
8908 15TH AVE, 2ND FLOOR, BROOKLYN, NY 11228-3901
(917) 548-3322

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/06/2015
Last updated
07/06/2015
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