Individual provider · Type 1 NPI

Jacquelyn Urban, PA-C

Physician Assistant · New York, NY

NPI number 1134598972 Active

Practice location

630 W 168th St
New York, NY 10032-3725

Call (212) 305-2500 Map

Mailing address

1190 5th Ave # 1023
New York, NY 10029-6503

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X019088-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134598972

Jacquelyn Urban, PA-C's National Provider Identifier is 1134598972, issued on Sep 23, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Jan 29, 2025.