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Jillian Prospect
Specialist in Port Jefferson Station, New York
NPI 1003312836

Jillian Prospect is a Specialist based in Port Jefferson Station, NY. Jillian Prospect practices in Port Jefferson Station, NY. The NPI Number for Jillian Prospect is 1003312836 and holds a License No. (New York).

The current practice location address for Jillian Prospect is 299 Hallock Ave, Port Jefferson Station, NY and can be reached out via phone at 631-473-4284.

Location: 299 Hallock Ave, Port Jefferson Station, NY, 11776-1217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003312836
Provider Name
Jillian Prospect
Credential
Provider Entity Type
Individual
Gender
Female
Address
299 Hallock Ave, Port Jefferson Station, NY, 11776-1217
Phone Number
631-473-4284
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-473-4284
Fax Number
person
Provider Business Mailing Address Details
Address
299 Hallock Ave
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-473-4284
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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