Individual
JENNIFER L DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6801 LAKE WORTH RD, GREENACRES, FL 33467-2955
(561) 693-6444
(866) 450-1704
Mailing address
350 COUNTY HIGHWAY 131, JOHNSTOWN, NY 12095-4026
(518) 332-6242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01893654
—
NY
Enumeration date
08/22/2006
Last updated
02/02/2023
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