Individual
JEAN RONEL METAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PA
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(347) 485-4717
Mailing address
6730 CLYDE ST APT 1G, FOREST HILLS, NY 11375-4004
(347) 485-4717
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1129-P.A
PR
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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