SearchNew YorkMedical Physician Assistant

Jaclyn Teresco, PA

NPI 1023447752 · on the registry since 2013 · sole proprietor

Practice

Address
104 Forest Ave
Glen Cove, NY 11542
Phone
(516) 759-5406
Organisation at this address
Medstation
The Med Station Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York