Individual
JAIME ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OSC
Contact information
Practice address
779 VAN DAM ST, VALLEY STREAM, NY 11581-3523
(347) 566-0780
Mailing address
779 VAN DAM ST, VALLEY STREAM, NY 11581-3523
(347) 566-0780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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