Individual
DR. JENNIFER M CUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
285 SILLS RD STE F, EAST PATCHOGUE, NY 11772-4869
(631) 751-3000
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
(631) 532-1912
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
330156
NY
Other
Enumeration date
03/12/2019
Last updated
08/26/2024
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