Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Mary Roulette

Individual provider Physician Assistant · NPI 1346781457

Jacqueline Mary Roulette is a Physician Assistant in East Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

8 Laurel Ave
East Islip, NY 11730-2190
Phone: (631) 224-4442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020674 (NY)

Record details

NPI number1346781457
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 9, 2017
Last updated in NPPESMarch 9, 2017

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