Individual
KAYANNA JONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
(718) 845-2620
Mailing address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402157-1
NY
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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