Individual provider · Type 1 NPI
Jennifer M. Fydell, MSED
Specialist · Massapequa, NY
NPI number
1629330741
Active
Practice location
274 W End Ave
Massapequa, NY 11758-6415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1672997 (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 1629330741
Jennifer M. Fydell, MSED's National Provider Identifier is 1629330741, issued on Jun 14, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Jun 14, 2012.