Jennifer Ancona

NPI 1134219124 · on the registry since 2006

Practice

Address: 120 N Country Rd
Suite 1
Port Jefferson, NY 11777
Phone: (631) 928-4990
Fax: (631) 928-4992
Organisation at this address: Paul A. Lusman, M.D.P.C.
John T. Mather Memorial Hospital
John T. Mather Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-20

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