Individual provider · Type 1 NPI
Cody Edward Jessop, PA-C
Surgical Physician Assistant · New York, NY
NPI number
1952852907
Active
Practice location
1901 1st Ave
New York, NY 10029-7404
Fax (914) 241-1247
Mailing address
189 Beaver Dam Rd
Katonah, NY 10536-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 23020283 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1952852907
Cody Edward Jessop, PA-C's National Provider Identifier is 1952852907, issued on Oct 14, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Oct 14, 2016.