Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 306641 | NY |
NPI | 1013342294 |
---|---|
Provider Name | Ronak Jani |
First Address | New York, NY 10027-4512 |
Second Address | New York, NY 10027-4512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2013 |
Last Update Date | 06/09/2013 |