Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1154095537 |
---|---|
Provider Name | Jennifer Krauss |
First Address | Astoria, NY 11105-1989 |
Second Address | New York, NY 10010-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2021 |
Last Update Date | 09/08/2021 |