Perry, Jillian Carlstrom

Perry, Jillian Carlstrom is an individual health care provider with primary practice located at 222 Route 299 , Highland NY 12528-2524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perry, Jillian Carlstrom can be contacted via phone (845) 691-3627.

Contact Information

Primary practice address
222 Route 299 Highland NY 12528-2524
Phone: (845) 691-3627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 023746 New York

Profile Details

NPI number 1508426198
LBN Legal business name Perry, Jillian Carlstrom
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2019
Last updated Jan 12th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508426198 NPPES
New York Other 023746 LICENSE

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