Individual provider · Type 1 NPI

Jessa Reissman, STUDENT

Student in an Organized Health Care Education/Training Program · Hawthorne, NY

NPI number 1619344926 Active

Practice location

500 Linda Avenue
Hawthorne, NY 10532

Mailing address

100 La Salle Street, 11E
New York, NY 10027

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619344926

Jessa Reissman, STUDENT's National Provider Identifier is 1619344926, issued on Aug 24, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hawthorne, NY. The record was last updated on Aug 24, 2015.