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MISS JENNIFER DISLA
NPI 1003249020
Specialist in Corona, NY

Active since August 13, 2013
11172 42ND AVE, CORONA, NY 11368(718) 458-0571 Get Directions Write a Review

NPPES record last updated: August 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jennifer Disla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JENNIFER DISLA (NPI 1003249020) is an individual specialist in Corona, New York, licensed in New York (1191109) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1003249020
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMISS JENNIFER DISLA
Location Address11172 42ND AVECorona, NY 11368-2620
Mailing Address111-72 42nd AvenueCorona, MT 11368 · (718) 458-0571
Phone(718) 458-0571
Sole ProprietorNo
Enumeration DateAugust 13, 2013
✔ NPI 1003249020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1191109
Definition
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.
11172 42ND AVE, Corona, NY 11368
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Disla's NPI number?

The NPI number for Jennifer Disla is 1003249020. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Jennifer Disla located?

Jennifer Disla practices at 11172 42nd Ave, Corona, NY 11368. The listed phone number is (718) 458-0571.

What is Jennifer Disla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Disla was last updated on August 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.