Individual
JESSICA MOLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6945
Mailing address
1874 E 34TH ST, BROOKLYN, NY 11234-4430
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309345-01
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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