Individual
JENNIFER SUSAN GOLIA PERNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1275 YORK AVE., DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10021
(212) 639-2190
(212) 717-3234
Mailing address
1275 YORK AVE., DEPARTMENT OF RADIOLOGY, NEW YORK, NY 10021
(212) 639-2190
(212) 717-3234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
273651
NY
390200000X
Student in an Organized Health Care Education/Training Program
57-018557
OH
Other
Enumeration date
10/25/2010
Last updated
01/18/2017
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