Jaclyn Taylor Brigandi
Physician Assistant in Great Neck, NY. Individual provider (NPI-1).
NPI number1124742150
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1124742150
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Taylor Brigandi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2022
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
600 Northern Blvd Ste 300Great Neck, NY 11021-5200
Phone 516-627-8717
Mailing address
600 Northern Blvd Ste 300Great Neck, NY 11021-5200
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All 65 Physician Assistant providers in Great Neck · All 3,221 providers in Great Neck
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