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NPI Code Detail

MEDICARE: ARTANA JATA

MEDICARE:   ARTANA  JATA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse696369-01NY

General Provider Information

NPI Number : 1073262242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTANA JATA
Provider Business Mailing Address
First Line : 6124 62ND ST
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1007
Country : US
Telephone Number : 347-358-1459
Fax Number :
Provider Business Practice Location Address
First Line : 6124 62ND ST
Second Line :
City : MIDDLE VILLAGE
State : NY
Zip : 11379-1007
Country : US
Telephone Number : 347-358-1459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2022
Last Update Date : 03/23/2022

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Directions to “ ARTANA JATA ” Practice Location

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