Individual provider · Type 1 NPI

Jason M. Lightbody, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1831266964 Active

Practice location

3400 Bainbridge Ave, 5th Floor
Bronx, NY 10467

Mailing address

216 Purchase St Apt K
Rye, NY 10580-2148

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X011634 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1831266964

Jason M. Lightbody, PA-C's National Provider Identifier is 1831266964, issued on Nov 30, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 10, 2015.