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1013389881
JESSE T MCCARTHY
STONY BROOK, NY
NPI
1013389881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019264)
Enumeration Date
2015-10-20
Last Update Date
2021-11-22
Business Address
JESSE T MCCARTHY PA
101 NICOLLS RD RM 50
STONY BROOK, NY 11794-0001
Phone number: 631-444-2465
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Mailing Address
JESSE T MCCARTHY PA
18 CHERYL DR
LAKE RONKONKOMA, NY 11779-4320
Phone number: 631-790-0499
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