Most Relevant Information
Provider Data
| NPI Number: | 1003593849 |
| Provider Name: | BERONICA JUCA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/03/2023 |
| Last Updated: | 07/03/2023 |
Provider Practice Location
6120 WOODSIDE AVE
WOODSIDE
NY
113773577
Practice Location Phone/Fax
| Phone: | 7186721705 |
| Fax: |
Provider Mailing Location
10219 29TH AVE
EAST ELMHURST
NY
113691963
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |