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1659430205
JACLYN N COTGREAVE
STONY BROOK, NY
NPI
1659430205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010753)
Enumeration Date
2006-12-08
Last Update Date
2014-03-13
Business Address
-- JACLYN N COTGREAVE P.A.
DEPARTMENT OF MED/CARDIOLOGY HSC T16-080 STONY BROOK UNIVERSITY
STONY BROOK, NY 11794-0001
Phone number: 631-444-1106
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Mailing Address
-- JACLYN N COTGREAVE P.A.
DEPARTMENT OF MED/CARDIOLOGY HSC T16-080 STONY BROOK UNIVERSITY
STONY BROOK, NY 11794-0001
Phone number: 631-444-1106
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