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

JESSICA DEZEGO, PA-C

Active

JESSICA DEZEGO, PA-C is a Physician Assistant healthcare provider located in BRIGHTWATERS, New York. NPI 1407327794 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BRIGHTWATERS, NY

Registration Details

NPI Number
1407327794
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2018 (7.6685891048358 yrs)
Last Updated
Sep 5, 2023
License
022967 (NY)

Practice Information

Address
404 POTTER BLVD
BRIGHTWATERS, NY, 117181830
Browse NY providers · Browse ZIP 11718
Phone
6313760055
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BRIGHTWATERS, NY

Name Credential NPI
PRISCILLA DELELLO PA 1720014970
CHRISTINE MARIE KERSHAW PA-C 1396198610
BRIANNA LEE BLASKEY PA-C 1053915587
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.