Individual
JESSICA BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1353
(516) 562-6000
Mailing address
18 MARSHALL LN, WESTBURY, NY 11590-2814
(631) 377-1468
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311709
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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