Individual
JASMIN WOODBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7104 FORT HAMILTON PKWY, BROOKLYN, NY 11228-1106
(718) 836-1087
Mailing address
204 LENA AVE, FREEPORT, NY 11520-2638
(516) 379-7892
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304785-1
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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