Provider Demographics
NPI:1790542298
Name:DREYER, JANE PATRICIA (SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:PATRICIA
Last Name:DREYER
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BLUE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11715-1227
Mailing Address - Country:US
Mailing Address - Phone:631-901-2894
Mailing Address - Fax:
Practice Address - Street 1:70 MAPLE ST
Practice Address - Street 2:
Practice Address - City:BLUE POINT
Practice Address - State:NY
Practice Address - Zip Code:11715-1227
Practice Address - Country:US
Practice Address - Phone:631-901-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY509672251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management