Individual
HEATHER JOCSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
PO BOX 1082, NEW YORK, NY 10028-0047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
025881
NY
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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