Individual
JENNIFER LYNN CIUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(814) 574-1286
Mailing address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(814) 574-1286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
311699
NY
Other
Enumeration date
04/11/2018
Last updated
04/27/2023
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