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1003385352
LISA TRENTINO
STONY BROOK, NY
NPI
1003385352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 022979)
Enumeration Date
2018-11-15
Last Update Date
2019-02-20
Business Address
LISA TRENTINO PA
2500 NESCONSET HWY BLDG 15H
STONY BROOK, NY 11790
Phone number: 631-689-3005
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Mailing Address
LISA TRENTINO PA
2500 NESCONSET HWY BLDG 15H
STONY BROOK, NY 11790-2554
Phone number: 631-689-3005
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