Jenna Spatafora

NPI #1548859069 in Deer Park, New York

Provider Information

NPI Number: 1548859069
Entity Type: Individual
Name: Jenna Spatafora
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 11, 2021
Last Updated: Mar 31, 2021

Practice Location

Address: 527 HALF HOLLOW RD
City: Deer Park
State: New York
ZIP Code: 11729-1022
Phone: (631) 860-3024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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