Individual
MRS. JENNIFER ANN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
28 BROOKFIELD LN, SOUTH SETAUKET, NY 11720-1410
(631) 880-7373
Mailing address
1312 MIDDLE COUNTRY RD, SEDEN, NY 11784
(631) 689-6554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008389
NY
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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