Individual
ALTHEA JOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 GREENVALE DR, EAST NORTHPORT, NY 11731-4114
(516) 524-7530
Mailing address
42 GREENVALE DR, EAST NORTHPORT, NY 11731-4114
(516) 524-7530
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
433429-01
NY
163WI0500X
Infusion Therapy Registered Nurse
Primary
433429-01
NY
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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