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1124425509
JACQUELINE CORVINO
HUNTINGTON, NY
NPI
1124425509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018265-1)
Enumeration Date
2014-12-01
Last Update Date
2015-01-13
Business Address
JACQUELINE CORVINO
830 PARK AVE
HUNTINGTON, NY 11743-4543
Phone number: 631-271-5800
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Mailing Address
JACQUELINE CORVINO
830 PARK AVE
HUNTINGTON, NY 11743-4543
Phone number: 631-271-5800
Copy
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