Individual
MRS. JENNIFER ANNUNZIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 WILLIAMSBRIDGE ROAD, BRONX, NY 10461
(914) 562-1383
(718) 530-1908
Mailing address
1535 WILLIAMSBRIDGE ROAD, BRONX, NY 10461
(914) 562-1383
(718) 530-1908
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
P05498
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P05498
—
NY
Enumeration date
03/23/2017
Last updated
03/23/2017
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