Individual
CODY EDWARD JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(914) 241-1450
(914) 241-1247
Mailing address
189 BEAVER DAM RD, KATONAH, NY 10536-3716
(914) 241-1450
(914) 241-1247
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23020283
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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