Individual provider · Type 1 NPI

Tracy Lynn Jayne, PA

Medical Physician Assistant · New Hartford, NY

NPI number 1851546659 Active

Practice location

1729 Burrstone Rd
New Hartford, NY 13413-1001

Fax (315) 624-1957

Mailing address

2 Ellinwood Dr
New Hartford, NY 13413-1102

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X012833 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1851546659

Tracy Lynn Jayne, PA's National Provider Identifier is 1851546659, issued on Nov 20, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hartford, NY. The record was last updated on Nov 12, 2019.