Individual provider · Type 1 NPI

Jesika Ponce, MED

Specialist · Commack, NY

NPI number 1245770619 Active

Practice location

29 Pinewood Dr
Commack, NY 11725-5612

Mailing address

36 Cortland Pl
Bay Shore, NY 11706-7348

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1245770619

Jesika Ponce, MED's National Provider Identifier is 1245770619, issued on Mar 3, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Commack, NY. The record was last updated on Mar 3, 2017.