Individual provider · Type 1 NPI

Jason P. Henke, RPA

Surgical Physician Assistant · Rockville Centre, NY

NPI number 1265431480 Active

Practice location

36 Lincoln Ave
Rockville Centre, NY 11570-5768

Fax (516) 302-8182

Mailing address

165 N Village Ave, Suite 128
Rockville Centre, NY 11570-3761

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X007579 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1265431480

Jason P. Henke, RPA's National Provider Identifier is 1265431480, issued on Jul 19, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rockville Centre, NY. The record was last updated on Jan 30, 2009.