JACQUELINE ROSE THAW

WEST ISLIP, NY
NPI1063396661
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  034153)
Enumeration Date2025-08-05
Last Update Date2025-08-05
Business Address
JACQUELINE ROSE THAW
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
Mailing Address
JACQUELINE ROSE THAW
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
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