MEDICARE: JACQUELINE V ZUNIGA

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	163W00000X	Registered Nurse	655150-1	NY

General Provider Information

NPI Number	:	1710230024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE V ZUNIGA

Provider Business Mailing Address
First Line	:	9107 32ND AVE
Second Line	:	1-F
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-2241
Country	:	US
Telephone Number	:	646-453-9334
Fax Number	:

Provider Business Practice Location Address
First Line	:	9107 32ND AVE
Second Line	:	1-F
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-2241
Country	:	US
Telephone Number	:	646-453-9334
Fax Number	:

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

Provider Enumeration Date	:	10/24/2012
Last Update Date	:	10/24/2012

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Directions to “ JACQUELINE V ZUNIGA ” Practice Location

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