Healthcare Provider Details

I. General information

NPI: 1770424632
Provider Name (Legal Business Name): JEREMIAH SERVICES SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GARFIELD AVE
VALLEY STREAM NY
11580-2922
US

IV. Provider business mailing address

24 GARFIELD AVE
VALLEY STREAM NY
11580-2922
US

V. Phone/Fax

Practice location:
  • Phone: 347-272-8867
  • Fax: 347-851-8335
Mailing address:
  • Phone: 347-272-8867
  • Fax: 347-851-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. EMELDA AGARD
Title or Position: CEO
Credential:
Phone: 347-272-8867