Individual
MS. JATOOPON MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 N 4TH ST, BROOKLYN, NY 11249-3296
(646) 450-7748
Mailing address
134 N 4TH ST, BROOKLYN, NY 11249-3296
(646) 450-7748
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402752
NY
Other
Enumeration date
06/25/2018
Last updated
06/22/2022
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