Individual
JESSICA BERARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W 57TH ST, SUITE 200, NEW YORK, NY 10019-3211
(212) 399-7040
Mailing address
314 W 94TH ST, APT 5E, NEW YORK, NY 10025-6867
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307771-1
NY
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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