Individual provider · Type 1 NPI

Victor Mari Jata

Licensed Practical Nurse · Bronx, NY

NPI number 1104064955 Active

Practice location

960 Sheridan Ave, 5D
Bronx, NY 10456-6301

Call (917) 349-5856 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X293982-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104064955

Victor Mari Jata's National Provider Identifier is 1104064955, issued on Feb 2, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bronx, NY. The record was last updated on Feb 2, 2009.