Individual
JENNA SUZANNE GIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(917) 992-4995
Mailing address
2612 166TH ST, FLUSHING, NY 11358-1104
(718) 428-6922
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
593998
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308479
NY
Other
Enumeration date
08/04/2017
Last updated
09/11/2018
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