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

JARED AMIR MENDOUNE

Active

JARED AMIR MENDOUNE is a Physician Assistant healthcare provider located in PORT JEFFERSON, New York. NPI 1780330605 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT JEFFERSON, NY

Registration Details

NPI Number
1780330605
Provider Type
Individual
Gender
Male
NPI Issued
Mar 1, 2022 (4.4682171938371 yrs)
Last Updated
Mar 1, 2022

Practice Information

Address
200 BELLE TERRE RD
PORT JEFFERSON, NY, 117771928
Browse NY providers · Browse ZIP 11777
Phone
6314746000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT JEFFERSON, NY

Name Credential NPI
JOSEPH M AUDIINO P.A. 1487620100
KEITH C FIELD P.A. 1710953435
IGOR LIZOGUBENKO P.A. 1033163035
TRACY M MOREA PA 1265463541
RONALD ROSSI RPA-C 1225062581
MICHAEL SUZZIVALLI 1194737973
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.