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Individual

JEMINA LOOBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-4000
Mailing address
59 TAFT AVE, LYNBROOK, NY 11563-1428
(646) 671-5322

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307927
NY
363LP2300X
Primary Care Nurse Practitioner
307927
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
524239
NY

Other

Enumeration date
07/23/2017
Last updated
06/23/2022
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