Search › New York › 1041C0700X
Jennifer Costello-Siri
NPI 1053557298 · on the registry since 2008 · sole proprietor
Practice
- Address
- 11515 Sutphin Blvd
Jamaica, NY 11434 - Phone
- (187) 656-0097
- Fax
- (347) 682-4302
- Organisation at this address
- Child Center Of New York
The Child Center Of Ny, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Additional practice sites
- 305 Winthrop Dr, Ithaca, NY
- 1048 Beach 20th St, Far Rockaway, NY
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 252Y00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York