Most Relevant Information
Provider Data
| NPI Number: | 1003288762 |
| Provider Name: | ALFRED JEAN FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F338709 |
Most Important Dates
| Enumeration Date: | 10/21/2015 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
930 E TREMONT AVE
BRONX
NY
104604363
Practice Location Phone/Fax
| Phone: | 7188601111 |
| Fax: | 6462401320 |
Provider Mailing Location
2816 8TH AVENUE
NEW YORK
NY
10039
Provider Mailing Phone/Fax
| Phone: | 4108003333 |
| Fax: |