Individual provider · Type 1 NPI
Jamie Widawsky, RPA-C
Medical Physician Assistant · Mineola, NY
NPI number
1780943076
Active
Practice location
259 1st St
Mineola, NY 11501-3957
Fax (516) 291-2184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 015552-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1780943076
Jamie Widawsky, RPA-C's National Provider Identifier is 1780943076, issued on May 8, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mineola, NY. The record was last updated on Apr 2, 2021.