Individual
JACQUELINE HELEN MCMURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
461 GLEN ST, GLENS FALLS, NY 12801-2906
(518) 745-5889
(518) 745-0010
Mailing address
26 CROWNWOOD LN, QUEENSBURY, NY 12804-1018
(518) 798-1932
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007750-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077502
LICENSE
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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