Individual
JENNIFER TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9114 MERRICK BLVD, JAMAICA, NY 11432-5363
(718) 408-7178
Mailing address
5820 GRANGER ST APT 2, CORONA, NY 11368-5610
(347) 437-8410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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