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1952852907
CODY EDWARD JESSOP
NEW YORK, NY
NPI
1952852907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 23020283)
Enumeration Date
2016-10-14
Last Update Date
2016-10-14
Business Address
-- CODY EDWARD JESSOP PA-C
1901 1ST AVE
NEW YORK, NY 10029-7404
Phone number: 914-241-1450
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Mailing Address
-- CODY EDWARD JESSOP PA-C
189 BEAVER DAM RD
KATONAH, NY 10536-3716
Phone number: 914-241-1450
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