Individual
JAMIELYNN CORMACK DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6942
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6942
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305854
NY
Other
Enumeration date
08/08/2011
Last updated
12/23/2024
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