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

Jenna Davino

Individual provider Surgical Physician Assistant · NPI 1790136356

Jenna Davino is a Surgical Physician Assistant in Massapequa, New York. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

4160 Merrick Rd Ste 3
Massapequa, NY 11758-6027
Phone: (516) 590-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1790136356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023
Mailing address105 Doris Pl, Massapequa, NY 11758-4004

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