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MICHELLE JACK, PA-C

PA-C

Physician Assistant

NPI: 1831631779IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

020374(NY)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 2 locations total

Address
STONY BROOK UNIV HOSP 101 NICOLLS ROAD HSC L-4 RM050
STONY BROOK, NY 11794

Locations (2)

Practice Location

STONY BROOK UNIV HOSP 101 NICOLLS ROAD HSC L-4 RM050, STONY BROOK, NY
(631) 444-2478

Practice Location

1000 MONTAUK HWY, WEST ISLIP, NY
(631) 376-3000

Quick Facts

NPI
1831631779
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
10

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