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NPI Code Detail

MEDICARE: JOCELYN ESTACIO

MEDICARE:   JOCELYN  ESTACIO
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 Nurse597551NY

General Provider Information

NPI Number : 1508118357
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOCELYN ESTACIO
Provider Business Mailing Address
First Line : 2545 SEDGWICK AVE
Second Line :
City : BRONX
State : NY
Zip : 10468-3802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2545 SEDGWICK AVE
Second Line :
City : BRONX
State : NY
Zip : 10468-3802
Country : US
Telephone Number : 929-268-5238
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2012
Last Update Date : 10/03/2012

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Directions to “ JOCELYN ESTACIO ” Practice Location

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