Individual
MS. ADRIENNE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
10815 175TH ST, JAMAICA, NY 11433-2605
(718) 658-3881
Mailing address
10815 175TH ST, JAMAICA, NY 11433-2605
(718) 658-3881
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
421909101
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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