Individual
JENNIFER DECAROLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-1510
(212) 941-9090
Mailing address
1671 W 7TH ST, BROOKLYN, NY 11223-1342
(978) 835-4708
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F421139
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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