Individual
CASSANDRA JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033379
NY
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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