Individual
JENNIFER SUSAN MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
244 TALLWOOD DR, VERNON, CT 06066-5913
(860) 966-4057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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