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1003034141
KRISTY SELVAGGI
WEST ISLIP, NY
NPI
1003034141
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Former Name
KRISTY HELIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010787)
Enumeration Date
2007-04-23
Last Update Date
2014-10-17
Business Address
Mrs. KRISTY SELVAGGI RPAC
1000 MONTAUK HIGHWAY GOOD SAMARITAN HOSPITAL
WEST ISLIP, NY 11795
Phone number: 631-376-4444
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Mailing Address
Mrs. KRISTY SELVAGGI RPAC
23 ACORN LANE
STONY BROOK, NY 11790
Phone number: 631-807-2568
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