Individual provider · Type 1 NPI

Jacqueline Marie Gribko, PA

Surgical Physician Assistant · Roslyn Heights, NY

NPI number 1730757626 Active

Practice location

125 Mineola Ave Ste 200
Roslyn Heights, NY 11577-2042

Call (800) 633-8446 Map

Mailing address

279 Charles Ave
Massapequa Park, NY 11762-1802

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1730757626

Jacqueline Marie Gribko, PA's National Provider Identifier is 1730757626, issued on Jun 16, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roslyn Heights, NY. The record was last updated on Jun 16, 2021.