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1093202871
JEENA ELIZABETH JOHN
PORT JEFFERSON, NY
NPI
1093202871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 313571)
Enumeration Date
2018-04-17
Last Update Date
2022-12-16
Business Address
JEENA ELIZABETH JOHN
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2517
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Mailing Address
JEENA ELIZABETH JOHN
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number:
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