Provider Demographics
NPI:1023132545
Name:AVIADO-LANGER, JENNIFER (FNP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:
Last Name:AVIADO-LANGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 53RD ST
Mailing Address - Street 2:PRE-SURGICAL TESTING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5243
Mailing Address - Country:US
Mailing Address - Phone:212-610-0488
Mailing Address - Fax:
Practice Address - Street 1:160 EAST 53RD STREET
Practice Address - Street 2:PRE-SURGICAL TESTING
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1850
Practice Address - Country:US
Practice Address - Phone:212-610-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF0605296363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF0605296OtherFAMILY NURSE PRACTITIONER
NYF0605296OtherFAMILY NURSE PRACTITIONER