Individual
MRS. JENNIFER LYNN MCTARNAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 EMPIRE BOULEVARD, CASTLETON, NY 12033-9751
(518) 479-6800
Mailing address
10 EMPIRE BOULEVARD, CASTLETON, NY 12033-9751
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
002940-1
NY
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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