Individual
JENNIFER PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 ROUTE 32, CENTRAL VALLEY, NY 10917-3613
(845) 827-6227
Mailing address
101 STAGE RD, MONROE, NY 10950-3512
(845) 827-6227
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
573066
NY
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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