JOHN A GASATAYA

LODI, NJ
NPI1750033320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ  26NJ01261700)
Enumeration Date2022-01-24
Last Update Date2022-11-12
Business Address
JOHN A GASATAYA
348 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 212-804-8226
Mailing Address
JOHN A GASATAYA
348 HARRISON AVE
LODI, NJ 07644-1121
Phone number: 212-804-8226