Individual
JENNIFER RAE HANKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
930 E TREMONT AVE, BRONX, NY 10460-4304
(718) 764-1662
(718) 224-1320
Mailing address
930 E TREMONT AVE, BRONX, NY 10460-4304
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013695
NY
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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