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Jaclyn Stukat Gren, PA-C
NPI 1396185609 · on the registry since 2013
Practice
- Address
- 60 Wall St
34 Floor
New York, NY 10005 - Phone
- (212) 250-7753
- Fax
- (212) 797-0808
- Organisation at this address
- Premise Health Of New York Medical, P.C
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- PA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-14
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