Individual
JEFFREY GRANT JUBILEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-5342
(212) 860-7419
Mailing address
2145 44TH DR, APT 1G, LONG ISLAND CITY, NY 11101-4749
(212) 810-1193
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431469
NY
363LA2200X
Adult Health Nurse Practitioner
307811
NY
Other
Enumeration date
08/11/2016
Last updated
02/26/2019
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