Individual
JENICA RUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14445 87TH AVE, BRIARWOOD, NY 11435-3109
(718) 906-9980
(718) 906-9989
Mailing address
30 CORNELL DR, GREAT NECK, NY 11020-1128
(917) 599-6361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F347376
NY
363LF0000X
Family Nurse Practitioner
F347376
NY
Other
Enumeration date
04/17/2021
Last updated
05/23/2023
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