Jillian Prospect
Jillian Prospect is a Specialist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
299 Hallock AvePort Jefferson Station, NY 11776
Phone: (631) 473-4284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (NY) |
|---|
Record details
| NPI number | 1003312836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 2, 2018 |
| Last updated in NPPES | August 3, 2018 |
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