Individual provider · Type 1 NPI

Ethan Christofer Jensen, M.S., PA-C

Surgical Physician Assistant · New York, NY

NPI number 1124451539 Active

Practice location

535 E 70th St
New York, NY 10021-4823

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X016594 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1124451539

Ethan Christofer Jensen, M.S., PA-C's National Provider Identifier is 1124451539, issued on Aug 21, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Apr 6, 2021.