Individual
MRS. JENNIFER LYN MONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
216 1ST ST, MINEOLA, NY 11501-3901
(516) 741-0570
(516) 741-8276
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 741-0570
(516) 741-8276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
519598
NY
363LF0000X
Family Nurse Practitioner
335016
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
519598
NY
Other
Enumeration date
09/23/2010
Last updated
07/21/2022
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