STELLA N JACK

NEW YORK, NY
NPI1013854157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Additional Taxonomies101Y00000X Counselor
235Z00000X Speech-Language Pathologist,
Enumeration Date2026-04-29
Last Update Date2026-04-29
Business Address
STELLA N JACK
228 PARK AVE S PMB 334254
NEW YORK, NY 10003-0103
Phone number: 516-988-4360
Mailing Address
STELLA N JACK
228 PARK AVE S
NEW YORK, NY 10003-0103
Phone number: 516-988-4360