Miss. Jacquelyn O'Hare
Miss. Jacquelyn O'Hare is a Physician Assistant in Islip Terrace, New York. Qualified in 2020, 6 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 6
- Licensed in
- NY
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
250 Norwood StIslip Terrace, NY 11752-1813
Phone: (631) 897-0355
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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 025303 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1952935207 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2020 |
| Last updated in NPPES | February 6, 2023 |
| Certification date | February 6, 2023 |
| Mailing address | 250 Norwood St, Islip Terrace, NY 11752-1813 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | North Shore-Lij Medical Pc — 6350 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in Islip Terrace
-
Mr. James Scott Gould, PA
16 Floral Park St, Islip Terrace, NY 11752-1310 · (631) 581-0410