Mrs. Jessica Mistretta
Mrs. Jessica Mistretta is an Early Intervention Provider Agency in Medford, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
179 Middle Island RdMedford, NY 11763-1517
Phone: (631) 880-3081
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1568106979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2022 |
| Last updated in NPPES | April 21, 2022 |
| Certification date | April 21, 2022 |
| Mailing address | 179 Middle Island Rd, Medford, NY 11763-1517 |
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