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

TaxonomyCodeLicense
Specialist Primary 174400000X1672997 (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.