Individual
JAISTER ANNE TABAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(347) 712-0789
Mailing address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
691376
NY
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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