Jenna Ditommaso
NPI #1417595257 in Massapequa Park, New York
Provider Information
- NPI Number
- 1417595257
- Entity Type
- Individual
- Name
- Jenna Ditommaso
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 11, 2019
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 4 JONES CT
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-3235
- Phone
- (516) 633-5393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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