Individual
JENNEE S JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7020
Mailing address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-1900
(516) 465-1830
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004898
NY
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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