Individual
JESSICA CALDERONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FERN PL, PLAINVIEW, NY 11803-4725
(516) 933-4700
Mailing address
114 LINCOLN BLVD, MERRICK, NY 11566-4016
(516) 933-4700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
709485131
NY
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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