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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSE ANTONIO SEPULVEDA JR., REGISTERED NURSE

Active Sole Proprietor

JOSE ANTONIO SEPULVEDA JR., REGISTERED NURSE is a Registered Nurse healthcare provider located in WEST MIDDLETOWN, New York. NPI 1013559244 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · WEST MIDDLETOWN, NY

Registration Details

NPI Number
1013559244
Provider Type
Individual
Gender
Male
NPI Issued
Oct 9, 2019 (6.8214996440538 yrs)
Last Updated
Oct 9, 2019
License
777879-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
15 FORTUNE RD
WEST MIDDLETOWN, NY, 10941
Browse NY providers · Browse ZIP 10941
Phone
8456924454
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in WEST MIDDLETOWN, NY

Name Credential NPI
ERICA CORRODUS 1912618455
MITAWA DOHONEY 1366129561
CARRINGTON JAMES 1801760947
JENNIFER LACKIE-SHOOK RN 1831051614
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.