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Diana Jernigan-breedy
Specialist in Coram, New York
NPI 1356748826

Diana Jernigan-breedy is a Specialist based in Coram, NY. Diana Jernigan-breedy practices in Coram, NY. The NPI Number for Diana Jernigan-breedy is 1356748826 and holds a License No. 743044131 (New York).

The current practice location address for Diana Jernigan-breedy is 17 Wycomb Pl, Coram, NY and can be reached out via phone at 718-309-3481.

Location: 17 Wycomb Pl, Coram, NY, 11727-1043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356748826
Provider Name
Diana Jernigan-breedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 Wycomb Pl, Coram, NY, 11727-1043
Phone Number
718-309-3481
Fax Number
Provider Enumeration Date
11/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Wycomb Pl
City
Coram
State
New York
Zip
11727-1043
Phone Number
718-309-3481
Fax Number
person
Provider Business Mailing Address Details
Address
17 Wycomb Pl
City
Coram
State
New York
Zip
11727-1043
Phone Number
718-309-3481
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
743044131 (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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