Individual
JASON BRANCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2427 MERRICK RD, BELLMORE, NY 11710-5703
(516) 590-7464
(516) 590-7468
Mailing address
7 EAST BAYVIEW ST, MASSAPEQUA, NY 11758-7604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012564
NY
Other
Enumeration date
11/12/2008
Last updated
07/24/2023
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