MEDICARE: JEAN SOUFFRANT

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
1	164W00000X	Licensed Practical Nurse	315496	NY

General Provider Information

NPI Number	:	1003350968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN SOUFFRANT

Provider Business Mailing Address
First Line	:	1767 TOPPING AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-7236
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1767 TOPPING AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-7236
Country	:	US
Telephone Number	:	347-644-4766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2016
Last Update Date	:	12/12/2016

Similar Medicare Providers

1518818152 — MAAME BRUNSON
Practice Location Address:

1767 TOPPING AVE
BRONX, NY
10457-7236

Practice Phone: 917-257-2067
Practice Fax:

1144916172 — DYANNE VELASQUEZ PA
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2545

Practice Phone: 718-960-9000
Practice Fax:

1033060637 — LUIS NAVEDO CASAC
Practice Location Address:

1776 CLAY AVE
BRONX, NY
10457-7299

Practice Phone: 718-960-7522
Practice Fax: 718-583-6439

1316898935 — JESSE CALLOWAY CASAC
Practice Location Address:

1776 CLAY AVE
BRONX, NY
10457-7299

Practice Phone: 718-960-7522
Practice Fax: 718-583-6439

1609305655 — DR. SOCHIMA ISIOMA OCHIJE MD
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2545

Practice Phone: 919-884-0698
Practice Fax:

1467266460 — KATHERINE KUPTZ MS, RN, CPNP-PC, DNP
Practice Location Address:

1650 GRAND CONCOURSE
BRONX, NY
10457-7679

Practice Phone: 718-992-7669
Practice Fax:

Directions to “ JEAN SOUFFRANT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.