Individual
JESSICA BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 5TH AVE APT 14H, NEW YORK, NY 10029-3131
(509) 494-9266
Mailing address
1295 5TH AVE APT 14H, NEW YORK, NY 10029-3131
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
722568
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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