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Individual

JENEBA MAIBATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(914) 682-9100
Mailing address
21 BLOOMINGDALE RD, WHITE PLAINS, NY 10605-1504
(347) 207-7960

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666625
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F40449401
NY

Other

Enumeration date
11/20/2019
Last updated
04/03/2024
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