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Individual

JESSENIA CASANOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
125 E 233RD ST APT 4C, BRONX, NY 10470-2238
(646) 241-0816
Mailing address
125 E 233RD ST APT 4C, BRONX, NY 10470-2238
(646) 241-0816

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000000000
NY

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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