Individual
DAVID JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
530 AUDUBON AVENUE, APT #4, NEW YORK, NY 10040-3545
(917) 862-5215
(718) 347-4643
Mailing address
530 AUDUBON AVENUE, APT #4, NEW YORK, NY 10040-3545
(917) 862-5215
(718) 347-4643
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280560
NY
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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