Provider Demographics
NPI:1104695618
Name:DILLON, JOCELYNN FAITH (PA-C)
Entity type:Individual
Prefix:
First Name:JOCELYNN
Middle Name:FAITH
Last Name:DILLON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:150 E 34TH ST APT 3507
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4788
Mailing Address - Country:US
Mailing Address - Phone:856-701-7836
Mailing Address - Fax:
Practice Address - Street 1:222 E 31ST ST
Practice Address - Street 2:FLOORS 1,2,B
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:315-201-0621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical