Individual provider · Type 1 NPI

Jennifer Disla

Specialist · Corona, NY

NPI number 1003249020 Active

Practice location

11172 42nd Ave
Corona, NY 11368-2620

Call (718) 458-0571 Map

Mailing address

111-72 42nd Avenue
Corona, MT 11368

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1191109 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003249020

Jennifer Disla's National Provider Identifier is 1003249020, issued on Aug 13, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Corona, NY. The record was last updated on Aug 13, 2013.