Individual
MS. JAYITHA JANARDHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16TH STREET, 1ST AVENUE, MOUNT SIANI BETH ISRAEL HOSPITAL, NEW YORK, NY 10003
(211) 420-2231
Mailing address
2480 E 3RD ST, BROOKLYN, NY 11223-6044
(646) 400-4889
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307481-1
NY
363LG0600X
Gerontology Nurse Practitioner
F307481-1
NY
Other
Enumeration date
08/19/2015
Last updated
09/25/2015
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