Individual
JULIANNA IASEVOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
19 KNIGHT LN, KINGS PARK, NY 11754-2018
(631) 804-7228
Mailing address
19 KNIGHT LN, KINGS PARK, NY 11754-2018
(631) 804-7228
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
812553
NY
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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