JACQUELINE SOMMER COLALILLO

LAKE GROVE, NY
NPI1104701671
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-08-06
Last Update Date2025-08-25
Business Address
JACQUELINE SOMMER COLALILLO
4 SMITH HAVEN MALL STE 110
LAKE GROVE, NY 11755-1219
Phone number: 631-444-6270
Mailing Address
JACQUELINE SOMMER COLALILLO
4 SMITH HAVEN MALL STE 110
LAKE GROVE, NY 11755-1219
Phone number:
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