Individual
DR. JESSICA ANN CEBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
82-68 164TH STREET, JAMAICA, NY 11432
(718) 883-4454
Mailing address
40-24 193RD STREET, 1ST FLOOR, FLUSHING, NY 11358
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
248206-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
248206-1
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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