Miss. Jennifer Disla
Miss. Jennifer Disla is a Specialist in Corona, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
11172 42nd AveCorona, NY 11368-2620
Phone: (718) 458-0571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1191109 (NY) |
|---|
Record details
| NPI number | 1003249020 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 13, 2013 |
| Last updated in NPPES | August 13, 2013 |
| Mailing address | 111-72 42nd Avenue, Corona, MT 11368 |
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