Lookup NPI Numbers from the NPI Registry
NPI Profile for JENNIFER CASILLA in MASTIC, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner |
| NPI # | 1679128904 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/04/2019 | |
| Last updated | 08/04/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JENNIFER CASILLA
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JENNIFER CASILLA