Individual
JENNIFER STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 267-4285
Mailing address
3057 29TH ST, #2C, ASTORIA, NY 11102-2549
(917) 543-7013
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010587
NY
Other
Enumeration date
06/06/2006
Last updated
11/01/2010
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