Individual
MS. JENNIFER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2044 49TH ST, ASTORIA, NY 11105-1206
(917) 861-2766
Mailing address
2044 49TH ST, ASTORIA, NY 11105-1206
(917) 861-2766
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
736896
NY
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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