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Jennifer Disla
NPI 1003249020 · on the registry since 2013
Practice
- Address
- 11172 42nd Ave
Corona, NY 11368 - Phone
- (718) 458-0571
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York