Jennifer Disla
Specialist • Corona, NY
Professional Overview & Biography Verified Profile Summary
Jennifer Disla is a registered healthcare professional specializing in Specialist in Corona, NY. Practice services are available at 11172 42ND AVE under active NPI credentials.
Practice Location & Contact Primary Location
11172 42nd Ave
Corona, NY 113682620
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Corona, NY
Practicing in Corona, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 11172 42ND AVE, CORONA, NY 113682620 (Tel: 7184580571)
Registered at 111-72 42ND AVENUE, CORONA, MT 11368 (Tel: 7184580571)
Recorded as JENNIFER DISLA
Specialist (License #1191109 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
111-72 42nd Avenue
Corona, MT 11368
Phone: 7184580571
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