Individual provider · Type 1 NPI

Jillian D'amico

Surgical Physician Assistant · Staten Island, NY

NPI number 1477974384 Active

Practice location

3333 Hylan Blvd
Staten Island, NY 10306-3608

Mailing address

111 Galway Pl
Teaneck, NJ 07666-3640

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X25MP00318500 (NJ)
Surgical Physician Assistant Primary 363AS0400X017455 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1477974384

Jillian D'amico's National Provider Identifier is 1477974384, issued on Dec 18, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Staten Island, NY. The record was last updated on Mar 6, 2020.