Jennifer Ancona
NPI #1134219124 in Port Jefferson, New York
Provider Information
- NPI Number
- 1134219124
- Entity Type
- Individual
- Name
- Jennifer Ancona
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 13, 2006
- Last Updated
- May 20, 2015
Practice Location
- Address
- 120 N COUNTRY RD
- Address 2
- SUITE 1
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2604
- Phone
- (631) 928-4990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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