Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victor Mari Jata

Individual provider Licensed Practical Nurse · NPI 1104064955

Victor Mari Jata is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

960 Sheridan Ave 5D
Bronx, NY 10456-6301
Phone: (917) 349-5856
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 293982-1 (NY)

Record details

NPI number1104064955
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 2, 2009
Last updated in NPPESFebruary 2, 2009

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