Jennifer Rose Feretic PSY.D.

NPI 1649561184 - Psychologist - 103T00000X

NPI Details
NPI 1649561184
Gender Female
Enumeration Date 05/02/2011
Last Updated 05/05/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
1110 SOUTH AVE
SUITE # 5
STATEN ISLAND NY, 10314-3403, US
Phone (347) 273-1290
Fax (718) 227-6007
Business Location
1110 SOUTH AVE
SUITE # 5
STATEN ISLAND NY, 10314-3403, US
Phone (347) 273-1290
Fax (718) 227-6007
Toxanomy
Taxonomy Code 103T00000X
License State New York
License Number 019048-1
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According to our database, Dr. Jennifer Rose Feretic PSY.D. NPI is 1649561184, taxonomy code is 103T00000X and license number is 019048-1, license state is located at New York. Jennifer Rose Feretic PSY.D. physically located at 1110 South Ave, Staten Island NY, 10314-3403. NPI Number Jennifer Rose Feretic PSY.D. has the Individual type.

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1649561184 NPI number is provided on an as is basis without warranty of any kind. 1649561184 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Rose Feretic PSY.D. are for informational purposes only.