Jessica L Devito
Jessica L Devito is a Specialist in Lake Grove, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
11 Elston CtLake Grove, NY 11755-2800
Phone: (631) 702-0299
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 1189762 (NY) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 1189762 (NY) |
Record details
| NPI number | 1174058754 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2017 |
| Last updated in NPPES | February 14, 2022 |
| Certification date | February 14, 2022 |
| Mailing address | 11 Elston Ct, Lake Grove, NY 11755-2800 |
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