Individual
JESSICA BOBADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
96-10 METROPOLITAN AVE, FOREST HILLS, NY 11375-6625
(718) 459-0400
(718) 670-6479
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421436
NY
Other
Enumeration date
07/30/2020
Last updated
07/28/2021
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