Individual
JHOANNA URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16216 UNION TPKE STE 303, FRESH MEADOWS, NY 11366-1960
(718) 264-7250
(718) 264-7922
Mailing address
1516 DECATUR ST, APT. # 1L, RIDGEWOOD, NY 11385-5740
(718) 264-7250
(718) 264-7922
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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