Search › New York › Early Intervention Provider Agency
Jessica Brock, MS
NPI 1356909360 · on the registry since 2019 · sole proprietor
Practice
- Address
- 42 Gwendolyn Pl
East Islip, NY 11730 - Phone
- (631) 525-3202
Registry record
- Primary taxonomy
- Early Intervention Provider Agency
252Y00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-04
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