Individual provider · Type 1 NPI

Jonathan Raymond Duperre, PA-C

Medical Physician Assistant · Albany, NY

NPI number 1720461791 Active

Practice location

315 S Manning Blvd
Albany, NY 12208-1707

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X018746 (NY)
Medical Physician Assistant Primary 363AM0700X018746 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1720461791

Jonathan Raymond Duperre, PA-C's National Provider Identifier is 1720461791, issued on Jul 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albany, NY. The record was last updated on Aug 13, 2015.