Individual
JAN AISHA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2662
Mailing address
10438 212TH ST, QUEENS VILLAGE, NY 11429-1539
(718) 781-3237
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431009
NY
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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