Individual
CHRISTY JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
16 VAN COTT ROAD, DEER PARK, NY 11729
(631) 274-0777
(631) 274-9499
Mailing address
16 VAN COTT ROAD, DEER PARK, NY 11729
(631) 274-0777
(631) 274-9499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014410
NY
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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