Jack Andrew Carney, PA-C
Physician Assistant, Medical in New Hyde Park, NY. Individual provider (NPI-1).
NPI number1508535964
StatusActive
Last updated in NPPESSep 9, 2021
Details
- NPI
- 1508535964
- Entity type
- Individual (NPI-1)
- Name
- Jack Andrew Carney
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2021
- Certification date
- Sep 9, 2021
- Last updated
- Sep 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
27005 76th AveNew Hyde Park, NY 11040-1402
Phone 718-470-7000
Mailing address
13 Acme AveBethpage, NY 11714-4628
Phone 516-695-3260
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All 66 Medical Physician Assistant providers in New Hyde Park · All 4,864 providers in New Hyde Park
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