Search › New York › 363LF0000X
Jaclyn Shea
NPI 1861168411 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1723 N Ocean Ave
Medford, NY 11763 - Phone
- (631) 758-5858
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-10
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