Individual
JESSICA LABELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 KRYSTAL DR, SOMERS, NY 10589-3024
(914) 588-3503
Mailing address
18 KRYSTAL DR, SOMERS, NY 10589-3024
(914) 588-3503
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
621370121
NY
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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