JACLYN BIRNBAUM

EAST NORTHPORT, NY
NPI1558625368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2012-06-26
Last Update Date2016-03-31
Business Address
JACLYN BIRNBAUM
3 GRAYSTONE DR
EAST NORTHPORT, NY 11731-4404
Phone number: 631-368-1002
Mailing Address
JACLYN BIRNBAUM
3 GRAYSTONE DR
EAST NORTHPORT, NY 11731-4404
Phone number: 631-368-1002