Individual provider · Type 1 NPI
Marzena Jetkowski, MSED
Specialist · Middle Village, NY
NPI number
1215299458
Active
Practice location
6337 84th St
Middle Village, NY 11379-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 440674101 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1215299458
Marzena Jetkowski, MSED's National Provider Identifier is 1215299458, issued on Jun 13, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middle Village, NY. The record was last updated on Jun 13, 2012.