Individual
JESSICA FAY A ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C, OCN
Contact information
Practice address
1751 YORK AVE, NEW YORK, NY 10128-6828
(212) 879-3496
Mailing address
1751 YORK AVE, NEW YORK, NY 10128-6828
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310453
NY
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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