Search › New York › 363A00000X
Michelle Jack, PA-C
NPI 1831631779 · on the registry since 2016
Practice
- Address
- Stony Brook Univ Hosp 101 Nicolls Road Hsc L-4 Rm050
Stony Brook, NY 11794 - Phone
- (631) 444-2478
Additional practice sites
- 1000 Montauk Hwy, West Islip, NY
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
- 2019-06-27
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