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

JENNA DITOMMASO

Active Sole Proprietor

JENNA DITOMMASO is a Physician Assistant healthcare provider located in MASSAPEQUA PARK, New York. NPI 1417595257 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MASSAPEQUA PARK, NY

Registration Details

NPI Number
1417595257
Provider Type
Individual
Gender
Female
NPI Issued
Dec 11, 2019 (6.6356355329362 yrs)
Last Updated
Dec 21, 2020
Sole Proprietor
Yes

Practice Information

Address
4 JONES CT
MASSAPEQUA PARK, NY, 117623235
Browse NY providers · Browse ZIP 11762
Phone
5166335393
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MASSAPEQUA PARK, NY

Name Credential NPI
ASHLEY LAUREN SPITERI 1528340940
CORINNE BEYER PHYSICIAN ASSISTANT 1184102246
SAMANTHA JEAN-GUILLAUME DESSOURCES PA-C 1598309510
A'LEAH DZIKOWSKI 1548869365
MEGHAN ANNE SLOAN PA-C 1780257592
HOOMAN ARYA PA-C, MS 1396499828
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.