Individual
JACLYN R COMBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
128 BOYNTON AVE, PLATTSBURGH, NY 12901
(518) 324-3399
(518) 324-3396
Mailing address
128 BOYNTON AVE, PLATTSBURGH, NY 12901
(518) 324-3399
(518) 324-3396
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011596
NY
Other
Enumeration date
11/14/2007
Last updated
04/21/2014
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