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Jennifer Deede

Physician Assistant in New Hyde Park, NY. Individual provider (NPI-1).

NPI number1356716740
StatusActive
Last updated in NPPESDec 10, 2015

Details

NPI
1356716740
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer Deede
Sex
Female
Sole proprietor
No
Enumeration date
Dec 10, 2015
Last updated
Dec 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant012063NYYes

Practice location

2800 Marcus Ave
New Hyde Park, NY 11042-1113

Phone 516-622-6000 · Fax 516-622-6075

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1113

Phone 516-622-6000 · Fax 516-622-6075

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