Individual
MRS. JAMIE ANNE O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-8758
(718) 226-8321
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03318903
—
NY
Enumeration date
09/02/2010
Last updated
09/20/2021
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