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

JACK E. REDDING II, PA-C

Active Sole Proprietor

JACK E. REDDING II, PA-C is a Medical Physician Assistant healthcare provider located in WEST COXSACKIE, New York. NPI 1295843852 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WEST COXSACKIE, NY

Registration Details

NPI Number
1295843852
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.981988105338 yrs)
Last Updated
Mar 27, 2015
License
PA9100926 (FL)
Sole Proprietor
Yes

Practice Information

Address
11835 RT 9W
WEST COXSACKIE, NY, 121923605
Browse NY providers · Browse ZIP 12192
Phone
5187319000
Fax
5187319119
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WEST COXSACKIE, NY

Name Credential NPI
MR. EARL DAWKINS PHYSIAN ASSISTANT 1730140179
CHRISTOPHER PAUL BARELA RPA-C 1053506063
NICOLE ELIZABETH MOKSZYCKI PA-C 1699127910
KATHRYN FALCO PA-C 1154870053
SHANNON ELIZABETH YEARWOOD 1831821982
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.