Individual
MS. JESSICA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4000
Mailing address
PO BOX 622, YONKERS, NY 10703-0622
(917) 497-2577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10980
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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