Individual
JESSICA SARA GOLDBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP, APRN
Contact information
Practice address
918 MAYFIELD RD, WOODMERE, NY 11598-1606
(516) 659-0519
Mailing address
918 MAYFIELD RD, WOODMERE, NY 11598-1606
(516) 659-0519
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F344504-01
NY
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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