Jesika Ponce, MED

NPI #1245770619 in Commack, New York

Provider Information

NPI Number: 1245770619
Entity Type: Individual
Name: Jesika Ponce, MED
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MED
Enumeration Date: Mar 3, 2017
Last Updated: Mar 3, 2017

Practice Location

Address: 29 PINEWOOD DR
City: Commack
State: New York
ZIP Code: 11725-5612
Phone: (631) 499-1237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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