Individual
ILANA ESTHER JERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
114 S NASHVILLE AVE, VENTNOR CITY, NJ 08406-2943
(609) 471-8653
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2012
Last updated
06/15/2012
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