Individual
MISS JANE RENELLE BISA-CISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2241 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-2538
(718) 471-3400
Mailing address
2241 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-2538
(718) 471-3400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307758
NY
Other
Enumeration date
06/28/2016
Last updated
01/30/2019
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