Individual
DR. JENNIFER B. CERASOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1245 PARK AVE, NEW YORK, NY 10128-1735
(212) 427-0540
Mailing address
1245 PARK AVE, NEW YORK, NY 10128-1735
(212) 427-0540
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
243711
NY
Other
Enumeration date
05/09/2007
Last updated
02/17/2012
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