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Jessica Dautner
NPI 1376952788 · on the registry since 2014
Practice
- Address
- 2350 Broadhollow Rd
Farmingdale, NY 11735 - Phone
- (631) 794-6281
- Fax
- (631) 794-6289
- Organisation at this address
- Suny Farmingdale
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-11
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