Individual
JOSEPH JENNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-9878
Mailing address
949 SAINT JOHNS PL, BROOKLYN, NY 11213-2515
(646) 299-5357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR10849100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
445334
NY
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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