Individual
JODIE L ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LONG ST, LAKE GROVE, NY 11755-1709
(631) 408-8537
Mailing address
9 LONG ST, LAKE GROVE, NY 11755-1709
(631) 408-8537
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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