Individual
DR. JACKIE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.; MS. ED.; ADV
Contact information
Practice address
1692 E 45TH ST, BROOKLYN, NY 11234-3622
(718) 758-1090
Mailing address
1692 E 45TH ST, BROOKLYN, NY 11234-3622
(718) 758-1090
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2517
NY
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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