Individual
JOLANTA MYCHAJLYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
2000 N VILLAGE AVE, SUITE 402, ROCKVILLE CENTRE, NY 11570
(516) 766-2519
(516) 766-3714
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2124
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007260-1
NY
Other
Enumeration date
11/08/2006
Last updated
09/17/2019
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