Individual
MS. DAWN MARIE JEZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
128 COMMODORE DR, STATEN ISLAND, NY 10309-3977
(917) 971-1101
Mailing address
128 COMMODORE DR, STATEN ISLAND, NY 10309-3977
(917) 971-1101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324774
NY
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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