Individual
MRS. JENNIFER MISIASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
121 BROAD ST, ORISKANY FALLS, NY 13425-3857
(315) 570-5775
Mailing address
121 BROAD ST, ORISKANY FALLS, NY 13425-3857
(315) 570-5775
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
646944-1
NY
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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