Provider Demographics
NPI:1699270074
Name:SCHNEE, JESSICA RACHEL (PA-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RACHEL
Last Name:SCHNEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 ONTARIO AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3532
Mailing Address - Country:US
Mailing Address - Phone:516-655-5181
Mailing Address - Fax:
Practice Address - Street 1:1245 COLONIAL RD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-2006
Practice Address - Country:US
Practice Address - Phone:516-295-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021945363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical