Individual
JENSEN MUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2351 JERUSALEM AVE, NORTH BELLMORE, NY 11710-1822
(646) 552-4394
Mailing address
54 ROTTKAMP ST, VALLEY STREAM, NY 11580-1653
(646) 552-4394
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
583702
NY
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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