Individual
JACQUELINE DIMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Mailing address
212 E 47TH ST APT 6D, NEW YORK, NY 10017-2122
(908) 907-0491
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310402
NY
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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