Individual
JONATHAN BRETT JASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1520 OLD NORTHERN BLVD, ROSLYN, NY 11576-1126
(516) 514-7337
(802) 491-8229
Mailing address
2 HARVEST CT, DIX HILLS, NY 11746-5602
(631) 486-4561
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
243849-1
NY
Other
Enumeration date
05/07/2007
Last updated
01/19/2023
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