MEDICARE: MRS. JENNIFER KAYLIN SILVEY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1598202665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER KAYLIN SILVEY PA

Provider Business Mailing Address
First Line	:	4875 SUNRISE HWY STE 302
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-4630
Country	:	US
Telephone Number	:	631-343-4184
Fax Number	:

Provider Business Practice Location Address
First Line	:	4875 SUNRISE HWY STE 302
Second Line	:
City	:	BOHEMIA
State	:	NY
Zip	:	11716-4630
Country	:	US
Telephone Number	:	631-343-4184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2017
Last Update Date	:	02/04/2025

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