Individual
JESSICA SENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
220 E 161ST ST, BRONX, NY 10451-3543
(718) 886-9000
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015068
NY
Other
Enumeration date
12/05/2012
Last updated
01/21/2019
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