Individual
GIPSA JANUARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
260 E 67TH ST STE B, NEW YORK, NY 10065-6212
(718) 464-3000
Mailing address
1116 FRONT ST, VESTAL, NY 13850-1258
(917) 391-3922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F357380-01
NY
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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