| Richard Jensen, | |
|
3384 State Route 22, Peru, NY 12972-5305 | |
| (518) 643-8008 | |
| (518) 643-8090 |
| Full Name | Richard Jensen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3384 State Route 22, Peru, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417963588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5546 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Jensen, 553 Stevenson Rd, Westport, NY 12993-2219 Ph: (518) 962-2777 | Richard Jensen, 3384 State Route 22, Peru, NY 12972-5305 Ph: (518) 643-8008 |
Ms. Robin Marie Hinson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3384 State Route 22, Peru, NY 12972 Phone: 518-643-8008 Fax: 518-643-8090 | |
Ms. Anna Theresa D'angelo, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9 Woodland Dr, Peru, NY 12972 Phone: 518-643-2114 Fax: 518-643-2114 | |
Mrs. Elizabeth Rose Ahern, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3384 Route 22, Peru, NY 12972 Phone: 518-643-8008 Fax: 518-643-8090 |