Individual
MS. JENNIFER MARIE WILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
760 BROADWAY, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
Mailing address
760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230, WOODHULL MENTAL & MEDICAL HEALTH CENTER, BROOKLYN, NY 11206
(718) 963-8000
(718) 630-3122
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001522
NY
Other
Enumeration date
12/05/2012
Last updated
07/18/2014
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