Provider Demographics
NPI:1821760554
Name:SCHENFELD, JESSICA CEARA (PA)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:CEARA
Last Name:SCHENFELD
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:29 COOPER LANE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756
Mailing Address - Country:US
Mailing Address - Phone:516-320-0443
Mailing Address - Fax:
Practice Address - Street 1:29 COOPER LANE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756
Practice Address - Country:US
Practice Address - Phone:516-320-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant