Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE WOODBURN, PA
Active Sole ProprietorJACQUELINE WOODBURN, PA is a Physician Assistant healthcare provider located in EAST PATCHOGUE, New York. NPI 1710780028 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAST PATCHOGUE, NY
Registration Details
- NPI Number
- 1710780028
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2025 (1.3944663607342 yrs)
- Last Updated
- Mar 31, 2025
- License
-
033652 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
129 SUNRISE HWY WEAST PATCHOGUE, NY, 117721846Browse NY providers · Browse ZIP 11772
- Phone
- 6312305774
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EAST PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES M STORC | MPAS, RPA-C, RT(T) | 1891791919 |
| LAURA D. WILK | PA-C | 1144256124 |
| NANCY TENGELSEN | PA-C | 1558607531 |
| MR. JOSEPH MICHAEL PATTI | RPA-C | 1447593009 |
| PING HAO | PHYSICIAN ASSISTANT | 1447681051 |
| STEVEN RICHARD ESPOSITO | PA-C | 1952719593 |
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.