Individual
MS. JILLIAN BARNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
55 CLARKE DR, EAST NORTHPORT, NY 11731-1232
(631) 836-5901
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23019531
NY
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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