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Jenna Rene Cislak

Specialist/Technologist, Other, Electroneurodiagnostic in White Plains, NY. Individual provider (NPI-1).

NPI number1699358705
StatusActive
Last updated in NPPESMay 5, 2021

Details

NPI
1699358705
Entity type
Individual (NPI-1)
Name
Jenna Rene Cislak
Sex
Female
Sole proprietor
Yes
Enumeration date
May 5, 2021
Certification date
May 5, 2021
Last updated
May 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

399 Knollwood Rd Ste 108
White Plains, NY 10603-1916

Phone 914-949-8501 · Fax 914-949-8502

Mailing address

399 Knollwood Rd Ste 108
White Plains, NY 10603-1916

Phone 914-949-8501 · Fax 914-949-8502

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