Individual
JANNA CUPID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(631) 844-4809
Mailing address
709 E 52ND ST, BROOKLYN, NY 11203-5903
(347) 452-5759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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