Individual
MRS. JENNIFER RAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
62 HAWTHORNE ST, MASSAPEQUA, NY 11758-5105
(516) 987-7322
Mailing address
62 HAWTHORNE ST, MASSAPEQUA, NY 11758-5105
(516) 987-7322
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
22 536462
NY
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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