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Individual

MRS. JACKIE J MCDEVITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1000 N VILLAGE AVE, MERCY MEDICAL CENTER, ROCKVILLE CENTRE, NY 11570
(516) 705-2854
Mailing address
1000 N VILLAGE AVE, MERCY MEDICAL CENTER, ROCKVILLE CENTRE, NY 11570
(516) 705-2854

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
018462
NY
363AM0700X
Medical Physician Assistant
Primary
018462
NY

Other

Enumeration date
02/24/2015
Last updated
10/18/2017
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