Individual provider · Type 1 NPI

Jessica Renee Mianulli

Specialist · West Islip, NY

NPI number 1407532930 Active

Practice location

254 Norma Ave
West Islip, NY 11795-1514

Call (516) 567-5790 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1407532930

Jessica Renee Mianulli's National Provider Identifier is 1407532930, issued on Jun 27, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Islip, NY. The record was last updated on Jun 27, 2023.