Individual provider · Type 1 NPI

Jessica Young Robertson

Specialist · Port Jefferson Station, NY

NPI number 1407697378 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

8 Ryder Pl
Lake Ronkonkoma, NY 11779-4112

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 1407697378

Jessica Young Robertson's National Provider Identifier is 1407697378, issued on Jun 4, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jun 4, 2024.