Individual
JENNIS H PAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 YORK AVE, 11TH FL, NEW YORK, NY 10021-5663
(646) 962-2020
Mailing address
435 E 70TH ST APT 23E, NEW YORK, NY 10021-5347
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
60249651
NY
Other
Enumeration date
07/23/2008
Last updated
12/15/2021
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