NPI 1023626702

Jarrett Stiles

Practitioner Surgical Physician Assistant Rockville Centre, NY

Practice location

Address: 1000 N Village Ave, Rockville Centre, NY 11570-1000
Phone: (516) 705-2525

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1023626702
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2020
Record last updated: 17 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.