Individual
JILLIAN AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
31 MERRICK AVE STE 10, MERRICK, NY 11566-3406
(516) 771-9797
Mailing address
44 PRESTON ST, PORT WASHINGTON, NY 11050-3525
(516) 423-2749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
349408
NY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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