Individual
ARTANA JATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6124 62ND ST, MIDDLE VILLAGE, NY 11379-1007
(347) 358-1459
Mailing address
6124 62ND ST, MIDDLE VILLAGE, NY 11379-1007
(347) 358-1459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
696369-01
NY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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