Provider Demographics
NPI:1669870572
Name:JASKOWIAK, KAMILA E (MS SPED)
Entity type:Individual
Prefix:MRS
First Name:KAMILA
Middle Name:E
Last Name:JASKOWIAK
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6049 75TH AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6168
Mailing Address - Country:US
Mailing Address - Phone:631-374-8854
Mailing Address - Fax:
Practice Address - Street 1:6049 75TH AVE
Practice Address - Street 2:2ND FL
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6168
Practice Address - Country:US
Practice Address - Phone:631-374-8854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist