Individual
JILLIAN K BREUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-8600
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 342-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382098
NY
Other
Enumeration date
11/06/2009
Last updated
02/03/2020
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