Individual
MISS JENNIFER DIANE KADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
64 CHESTNUT ST, MALVERNE, NY 11565-1336
(516) 526-8798
Mailing address
64 CHESTNUT ST, MALVERNE, NY 11565-1336
(516) 526-8798
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430671
NY
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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