Individual
REBECCA JASON-ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
6010 BAY PKWY FL 7, BROOKLYN, NY 11204-6079
(718) 283-7400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026181
NY
Other
Enumeration date
03/30/2021
Last updated
11/16/2024
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