Search › New York › 103K00000X
Jessica Daverin, MS ED
NPI 1447511340 · on the registry since 2012 · sole proprietor
Practice
- Address
- 21 Ashford Dr
Lake Grove, NY 11755 - Phone
- (516) 993-0177
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
103K00000X
174400000X - Licence states on file
- PA, NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
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