Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider | 23011 | NY |
NPI | 1033798608 |
---|---|
Provider Name | Ms. Jessica Kaiser |
First Address | Buffalo, NY 14209-2380 |
Second Address | Buffalo, NY 14209-2380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2021 |
Last Update Date | 02/04/2021 |