Jennifer Casilla

NPI #1679128904 in Mastic, New York

Provider Information

NPI Number
1679128904
Entity Type
Individual
Name
Jennifer Casilla
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
Aug 4, 2019
Last Updated
Aug 4, 2019

Practice Location

Address
148 BURNEY BLVD
City
Mastic
ZIP Code
11950-1335
Phone
(631) 494-5966

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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