Individual
JETMIRA NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
Mailing address
324 PALMER TER APT 2C, MAMARONECK, NY 10543-2456
(917) 209-6498
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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