Individual
JACQUELINE KRISTEN MOUNAYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-2150
(212) 746-6951
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-2150
(212) 746-6951
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310275
NY
363LA2200X
Adult Health Nurse Practitioner
9790
CT
Other
Enumeration date
07/06/2021
Last updated
01/21/2022
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