Jessica A Calderon, PA-C
Physician Assistant in Bohemia, NY. Individual provider (NPI-1).
NPI number1114628443
StatusActive
Last updated in NPPESJun 17, 2026
Details
- NPI
- 1114628443
- Entity type
- Individual (NPI-1)
- Name
- Jessica A Calderon
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2023
- Certification date
- Jun 17, 2026
- Last updated
- Jun 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
4875 Sunrise Hwy Ste 302Bohemia, NY 11716-4630
Phone 631-343-4184
Mailing address
740 Main RdRiverhead, NY 11901-5723
Other practice locations
740 Main Rd
Riverhead, NY 11901-5723
Riverhead, NY 11901-5723
Phone 631-343-4184
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