Individual
JASMINE NICOLE PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
5962 ROUTE 31, BOX 10 SUITE 7, CICERO, NY 13039
(315) 698-0033
(315) 698-0031
Mailing address
121 LAFAYETTE RD, APT 524, SYRACUSE, NY 13205-2929
(315) 870-2994
(315) 698-0033
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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