Individual
MRS. JENNIFER CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
260 MIDDLE COUNTRY RD, SUITE 214, SMITHTOWN, NY 11787-2982
(631) 265-5050
(631) 265-3304
Mailing address
260 MIDDLE COUNTRY RD, SUITE 214, SMITHTOWN, NY 11787-2982
(631) 265-5050
(631) 265-3304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334886
NY
Other
Enumeration date
05/30/2008
Last updated
12/01/2010
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