Individual
JEAN SUBIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 787-0625
Mailing address
131 ELWOOD AVE APT 2, HAWTHORNE, NY 10532-2329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
01/26/2023
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