Jared Thomas Strack, RN
Registered Nurse, Case Management in Pleasantville, NY. Individual provider (NPI-1).
NPI number1013549385
StatusActive
Last updated in NPPESFeb 5, 2020
Details
- NPI
- 1013549385
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jared Thomas Strack
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2020
- Certification date
- Feb 5, 2020
- Last updated
- Feb 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 662008 | NY | Yes |
Practice location
1075 BroadwayPleasantville, NY 10570-2346
Phone 914-741-4564
Mailing address
96 Washington Ave NWhite Plains, NY 10603
Phone 914-882-9068
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