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Individual

MRS. MINDY L. JAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MINDY JAFFE, PNP

Contact information

Practice address
1275 YORK AVENUE, NEW YORK, NY 10065
(917) 488-8660
Mailing address
215 E 96TH ST APT 12C, NEW YORK, NY 10128-3945
(917) 488-8660

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
550958
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381946-1
NY

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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