| Jenna Marie Ivancic, PA-C | |
|
75 N Country Rd, Port Jefferson, NY 11777-2190 | |
| (631) 473-1320 | |
| Not Available |
| Full Name | Jenna Marie Ivancic |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 75 N Country Rd, Port Jefferson, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891402624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 028783 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Marie Ivancic, PA-C 193 Brookside Ter W, Tonawanda, NY 14150-5932 Ph: (716) 830-0347 | Jenna Marie Ivancic, PA-C 75 N Country Rd, Port Jefferson, NY 11777-2190 Ph: (631) 473-1320 |
Ms. Christie Lee Cotty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777 Phone: 631-298-4008 | |
Loretta Didwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-474-4667 | |
Igor Lizogubenko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Casey Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Mr. Matthew Delph, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000 | |
Francis Richard Sicari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 | |
Charles Mellor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653 |