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

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X23020283 (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.