Jennifer Susan Gorelov, NP
Nurse Practitioner, Adult Health in New York, NY. Individual provider (NPI-1).
NPI number1326449331
StatusActive
Last updated in NPPESMar 3, 2016
Details
- NPI
- 1326449331
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Susan Gorelov
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2014
- Last updated
- Mar 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F307275 | NY | Yes |
| 363L00000X | Nurse Practitioner | RN2265971 | MA |
Practice location
300 E 66th StNew York, NY 10065-6800
Phone 646-888-4842
Mailing address
300 E 66th StNew York, NY 10065-6800
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