Individual
DEBRA JEMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2800 MARCUS AVE, SUITE 204, NEW HYDE PARK, NY 11042-1113
(516) 608-6860
(516) 608-6861
Mailing address
2800 MARCUS AVE, SUITE 204, NEW HYDE PARK, NY 11042-1113
(516) 608-6860
(516) 608-6861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009561
NY
Other
Enumeration date
06/15/2006
Last updated
03/14/2012
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