Individual
CASEY ALEXANDRA JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1554 NORTHERN BLVD FL 5, MANHASSET, NY 11030-3054
(516) 390-9242
Mailing address
1554 NORTHERN BLVD FL 5, MANHASSET, NY 11030-3054
(516) 390-9242
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
318309
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
08/23/2022
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