# JCG NP - ADULT HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588243471
- **Authorized official:** JEAN-CHARLES GASPARD (NP)
- **Authorized official phone:** (845) 216-0462

## Contact information

- **Practice address:** 133 E 58TH ST STE 811, NEW YORK, NY 10022-1299
- **Practice address phone:** (845) 216-0462
- **Mailing address:** 8 SECORA RD APT JS, MONSEY, NY 10952-3727
- **Mailing address phone:** (845) 216-0462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021