SearchNew York171W00000X

Jaclyn Bannister, M.S. SP ED

NPI 1841619913 · on the registry since 2014 · sole proprietor

Practice

Address
3055 71st St
#1
East Elmhurst, NY 11370
Phone
(347) 556-4013

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-04-15

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