MEDICARE: MS. JANE PATRICIA DREYER SPECIAL EDUCATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	509672	NY

General Provider Information

NPI Number	:	1790542298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANE PATRICIA DREYER SPECIAL EDUCATION

Provider Business Mailing Address
First Line	:	70 MAPLE ST
Second Line	:
City	:	BLUE POINT
State	:	NY
Zip	:	11715-1227
Country	:	US
Telephone Number	:	631-901-2894
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 MAPLE ST
Second Line	:
City	:	BLUE POINT
State	:	NY
Zip	:	11715-1227
Country	:	US
Telephone Number	:	631-901-2894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2024
Last Update Date	:	03/01/2024

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