Individual
MS. JO ANNE GUNOPAWIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1824 MADISON AVE, 2ND FLOOR, NEW YORK, NY 10035-3832
(212) 423-4200
(646) 770-8401
Mailing address
7101 COLONIAL RD, APT. R1A, BROOKLYN, NY 11209-1952
(917) 456-6059
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400942-1
NY
Other
Enumeration date
11/15/2007
Last updated
01/14/2014
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