Individual
JESSICA ELIZABETH PERCIBALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
110 E 59TH ST RM 10C, NEW YORK, NY 10022-1365
(212) 583-2850
Mailing address
334 JACKSON AVE, WEST HEMPSTEAD, NY 11552-1911
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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