Provider Demographics
NPI:1366742744
Name:JAKYMEC, RENEE (PA)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:JAKYMEC
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:
Other - Last Name:DROBINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:54 NEW HYDE PARK RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-3948
Mailing Address - Country:US
Mailing Address - Phone:516-488-1313
Mailing Address - Fax:516-488-1368
Practice Address - Street 1:13800 TAMIAMI TRL N STE 112
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6204
Practice Address - Country:US
Practice Address - Phone:516-488-1313
Practice Address - Fax:516-488-1368
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014351-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical