Jessica F Walz, PA

NPI #1669544292 in Northport, New York

Provider Information

NPI Number: 1669544292
Entity Type: Individual
Name: Jessica F Walz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 15, 2006
Last Updated: May 29, 2013

Practice Location

Address: 79 MIDDLEVILLE RD
City: Northport
State: New York
ZIP Code: 11768-2200
Phone: (443) 812-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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