Individual provider · Type 1 NPI

Jessica Elizabeth Perciballi, PA

Medical Physician Assistant · New York, NY

NPI number 1376204248 Active

Practice location

110 E 59th St Rm 10C
New York, NY 10022-1365

Call (212) 583-2850 Map

Mailing address

334 Jackson Ave
West Hempstead, NY 11552-1911

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1376204248

Jessica Elizabeth Perciballi, PA's National Provider Identifier is 1376204248, issued on Jan 4, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jan 4, 2022.