Individual provider · Type 1 NPI
Jonathan Dillera Nietes, MSN, AGPC NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1972104958
Active
Practice location
425 W 59th St Ste 4F
New York, NY 10019-8022
Other practice locations
- 4411 Macnish St Apt 1G, Elmhurst, NY 11373-3609 · (917) 982-6498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309611 (NY) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1972104958
Jonathan Dillera Nietes, MSN, AGPC NP's National Provider Identifier is 1972104958, issued on Nov 5, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Feb 10, 2023.