TABATHA JORGENSEN

SYRACUSE, NY
NPI1477950400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  018386)
Enumeration Date2014-11-19
Last Update Date2021-03-12
Business Address
TABATHA JORGENSEN
736 IRVING AVE STE 340
SYRACUSE, NY 13210-1687
Phone number: 315-470-7747
Mailing Address
TABATHA JORGENSEN
1001 W FAYETTE ST SUITE 400
SYRACUSE, NY 13204-2859
Phone number: 315-701-2550