Individual
JODI-ANN SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3556
Mailing address
11747 196TH ST, SAINT ALBANS, NY 11412-3449
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310917
NY
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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