Individual
MS. DEBORAH JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4701 QUEENS BLVD, SUNNYSIDE, NY 11104-1660
(929) 483-2030
Mailing address
4701 QUEENS BLVD, SUNNYSIDE, NY 11104-1660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350168
NY
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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