Individual provider · Type 1 NPI

Jack Andrew Carney, PA-C

Medical Physician Assistant · New Hyde Park, NY

NPI number 1508535964 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Call (718) 470-7000 Map

Mailing address

13 Acme Ave
Bethpage, NY 11714-4628

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1508535964

Jack Andrew Carney, PA-C's National Provider Identifier is 1508535964, issued on Sep 9, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Sep 9, 2021.