Individual
AILEEN YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 SYRACUSE AVE, MEDFORD, NY 11763-3621
(631) 848-9943
Mailing address
30 SYRACUSE AVE, MEDFORD, NY 11763-3621
(631) 848-9943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024360
NY
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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