Individual
FANY HERRERA JARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 LAFAYETTE AVE, APT 3C, CLIFFSIDE PARK, NJ 07010-2559
(917) 349-6132
Mailing address
301 LAFAYETTE AVE, APT 3C, CLIFFSIDE PARK, NJ 07010-2559
(917) 349-6132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019565-1
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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