Individual
JEROME SHITTEH
Active
Individual
JEROME SHITTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F430655-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
514256
NY
Other
Enumeration date
08/17/2008
Last updated
12/30/2016
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