Individual
CHELSEA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(801) 913-9933
Mailing address
512 KENSINGTON LN, BETHPAGE, NY 11714-4519
(801) 913-9933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025415-01
NY
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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