Individual
JENNIFER BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 BARKER AVE APT 1A, BRONX, NY 10467-6353
(347) 273-5748
Mailing address
3231 BARKER AVE APT 1A, BRONX, NY 10467-6353
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1768409231
NY
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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