Dr JENNIFER A GAGNE is a female medical professional, specializing in Nurse Practitioner. She graduated in 1998 from State University Of New York At Stony Brook, School Of Medicine.
MEETING HOUSE LANE MEDICAL PRACTICE PC
147 BEACH RD
SUITE D
WESTHAMPTON BEACH
NY
119782024
Tel: 6314053325
| Npi | 1679649412 |
| Pac Id | 1456515394 |
| Professional Enrollment Id | I20120606000035 |
| Last Name | GAGNE |
| First Name | JENNIFER |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Group Practice Pac Id | 6800972589 |
| Number Of Group Practice Members | 88 |
| Line 1 Street Address | 147 BEACH RD |
| Line 2 Street Address | SUITE D |
| Marker Of Address Line 2 Suppression | |
| City | WESTHAMPTON BEACH |
| State | NY |
| Zip Code | 119782024 |
| Phone Number | 6314053325 |
| Hospital Affiliation Ccn 1 | 330393 |
| Hospital Affiliation Lbn 1 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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