Individual
MS. JESSICA A SROUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
(212) 696-1602
Mailing address
37 W 26TH ST, 6TH FLOOR, NEW YORK, NY 10010-1006
(212) 696-1550
(212) 696-1602
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02850677
—
NY
Enumeration date
08/10/2011
Last updated
06/06/2013
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