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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA DIZINNO

Active Sole Proprietor

JESSICA DIZINNO is a Physician Assistant healthcare provider located in WOODBURY, New York. NPI 1124490750 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WOODBURY, NY

Registration Details

NPI Number
1124490750
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2015 (10.811681104921 yrs)
Last Updated
Aug 12, 2021
License
019284 (NY)
Sole Proprietor
Yes

Practice Information

Address
45 CROSSWAYS PARK DR W
WOODBURY, NY, 117972037
Browse NY providers · Browse ZIP 11797
Phone
5169924568
Fax
5169924637
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WOODBURY, NY

Name Credential NPI
EUGENE G BUTTA PA 1447298310
MRS. TERAH J STIELL PA-C 1629105713
MRS. THERESA M GENTILE RPA-C 1841418480
TARA ANN KOCH P.A. 1497908487
MS. ARIANA ZAZA RPA-C 1639486434
ASHLEY KALLINIKOS PA-C 1114446382
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.