Individual provider · Type 1 NPI

Jessica Pereira, PA

Surgical Physician Assistant · Garden City, NY

NPI number 1093299000 Active

Practice location

999 Franklin Ave
Garden City, NY 11530-2913

Mailing address

401 Thrift St
Ronkonkoma, NY 11779-6234

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X022941 (NY)
Surgical Physician Assistant 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1093299000

Jessica Pereira, PA's National Provider Identifier is 1093299000, issued on Sep 17, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Garden City, NY. The record was last updated on Dec 13, 2018.