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1225377104
ELIZABETH TENGCO
SMITHTOWN, NY
NPI
1225377104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 016400)
Enumeration Date
2013-02-12
Last Update Date
2018-03-22
Business Address
ELIZABETH TENGCO RPA-C
290 E MAIN ST
SMITHTOWN, NY 11787-2916
Phone number: 631-361-4802
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Mailing Address
ELIZABETH TENGCO RPA-C
290 E MAIN ST
SMITHTOWN, NY 11787-2916
Phone number: 631-361-4802
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