SearchNew York363AS0400X

Jessica Gibson, PA-C

NPI 1871186445 · on the registry since 2021

Practice

Address
285 Sills Rd Bldg 18
East Patchogue, NY 11772
Phone
(631) 475-1224
Fax
(631) 475-1588
Organisation at this address
Mark S. Vogel
R&T Medical Pc
Sunrise Rx Inc.
Mona Vani Md Pc
Lawrence Cassano
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-16

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