Jessica Connolly
NPI #1033472485 in West Sayville, New York
Provider Information
- NPI Number
- 1033472485
- Entity Type
- Individual
- Name
- Jessica Connolly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 20, 2012
- Last Updated
- Jun 20, 2012
Practice Location
- Address
- 144 WEAVER RD
- City
- West Sayville
- State
- New York
- ZIP Code
- 11796-1030
- Phone
- (631) 750-3999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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