Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F305698 | NY |
NPI | 1023452034 |
---|---|
Provider Name | Mrs. Janna Adler |
First Address | Staten Island, NY 10308-3146 |
Second Address | Brooklyn, NY 11223-5940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2013 |
Last Update Date | 20/04/2013 |