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Jennifer Grace Wiley
Specialist in Lake Ronkonkoma, New York
NPI 1821351602

Jennifer Grace Wiley is a Specialist based in Lake Ronkonkoma, NY. Jennifer Grace Wiley practices in Lake Ronkonkoma, NY. The NPI Number for Jennifer Grace Wiley is 1821351602 and holds a License No. 899067 (New York).

The current practice location address for Jennifer Grace Wiley is 10 Center St, Lake Ronkonkoma, NY and can be reached out via phone at 631-428-3508.

Location: 10 Center St, Lake Ronkonkoma, NY, 11779-4524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821351602
Provider Name
Jennifer Grace Wiley
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 Center St, Lake Ronkonkoma, NY, 11779-4524
Phone Number
631-428-3508
Fax Number
Provider Enumeration Date
06/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Center St
City
Lake Ronkonkoma
State
New York
Zip
11779-4524
Phone Number
631-428-3508
Fax Number
person
Provider Business Mailing Address Details
Address
10 Center St
City
Lake Ronkonkoma
State
New York
Zip
11779-4524
Phone Number
631-428-3508
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
899067 (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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