Individual
JESSIE NACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 GARDEN CITY PLZ, SUITE 100, GARDEN CITY, NY 11530-3301
(516) 663-6400
(516) 307-8840
Mailing address
200 GARDEN CITY PLZ, SUITE 100, GARDEN CITY, NY 11530-3301
(516) 663-6400
(516) 307-8840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016871
NY
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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