Individual
JUANITA JENYONS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 W 77TH ST, NEW YORK, NY 10024-5128
(212) 769-4171
Mailing address
PO BOX 32577, HARTFORD, CT 06150-2577
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
141676-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00691061
—
NY
Enumeration date
08/09/2005
Last updated
07/08/2007
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