Most Relevant Information
Provider Data
| NPI Number: | 1003469289 |
| Provider Name: | JESSICA JOLIE BADONSKY NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 344707-01 |
Most Important Dates
| Enumeration Date: | 07/17/2019 |
| Last Updated: | 07/17/2019 |
Provider Practice Location
3430 CORLEAR AVE
BRONX
NY
104633702
Practice Location Phone/Fax
| Phone: | 6466710502 |
| Fax: |
Provider Mailing Location
3430 CORLEAR AVE
BRONX
NY
104633702
Provider Mailing Phone/Fax
| Phone: | 6466710502 |
| Fax: |