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Individual
JENNIFER L DEFILIPPO
Active
Individual
JENNIFER L DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01893654
—
NY
Enumeration date
08/22/2006
Last updated
02/02/2023
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