Jessica Sara Poludin MSED

NPI 1023370269 - Specialist - 174400000X

NPI Details
NPI 1023370269
Gender Female
Enumeration Date 06/13/2012
Last Updated 06/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
519 E 85TH ST
APT. 1W
NEW YORK NY, 10028-7457, US
Phone (917) 584-0179
Fax
Business Location
519 E 85TH ST
APT. 1W
NEW YORK NY, 10028-7457, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 1078140
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According to our database, Ms. Jessica Sara Poludin MSED NPI is 1023370269, taxonomy code is 174400000X and license number is 1078140, license state is located at New York. Jessica Sara Poludin MSED physically located at 519 E 85th St, New York NY, 10028-7457. NPI Number Jessica Sara Poludin MSED has the Individual type.

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1023370269 NPI number is provided on an as is basis without warranty of any kind. 1023370269 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Sara Poludin MSED are for informational purposes only.