Individual
JILLIAN IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
535 PLANDOME RD # 2, MANHASSET, NY 11030-1974
(516) 365-5544
Mailing address
535 PLANDOME RD # 2, MANHASSET, NY 11030-1974
(516) 365-5544
(516) 365-5545
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007049-01
NY
Other
Enumeration date
04/05/2017
Last updated
08/07/2024
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