Individual
JEAN ELLEN VASCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
105 HAMILTON AVE, MEDICAL ROOM, STATEN ISLAND, NY 10301-1610
(718) 390-1800
(718) 273-8240
Mailing address
105 HAMILTON AVE, MEDICAL ROOM, STATEN ISLAND, NY 10301-1610
(718) 390-1800
(718) 273-8240
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
234344-1
NY
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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