Jacqueline Mary Roulette
NPI #1346781457 in East Islip, New York
Provider Information
- NPI Number
- 1346781457
- Entity Type
- Individual
- Name
- Jacqueline Mary Roulette
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Mar 9, 2017
- Last Updated
- Mar 9, 2017
Practice Location
- Address
- 8 LAUREL AVE
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2190
- Phone
- (631) 224-4442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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