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Jacqueline Woodburn, PA

NPI 1710780028 · on the registry since 2025 · sole proprietor

Practice

Address
129 Sunrise Hwy W
East Patchogue, NY 11772
Phone
(631) 230-5774

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
2025-03-31

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