| NPI | 1013206978 |
|---|---|
| Former Name | JENNIFER LYNN SASSANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014686) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 14686) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2023-07-06 |