Individual provider · Type 1 NPI

Jacqueline Predmore, PA-C

Medical Physician Assistant · New York, NY

NPI number 1033660246 Active

Practice location

1275 York Ave
New York, NY 10065-6007

Mailing address

36 Dunbar Dr
West Windsor, NJ 08550-3226

Other practice locations

  • 22 Old Short Hills Rd, Suite 106, Livingston, NJ 07039-5604 · (609) 413-6168

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X25MP00413700 (NJ)
Medical Physician Assistant Primary 363AM0700X022428-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1033660246

Jacqueline Predmore, PA-C's National Provider Identifier is 1033660246, issued on Oct 24, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Dec 13, 2018.