DEBRA CIVITANO

WEST ISLIP, NY
NPI1295419240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F351904-01)
Enumeration Date2023-06-12
Last Update Date2023-06-12
Business Address
DEBRA CIVITANO FNP
500 MONTAUK HWY
WEST ISLIP, NY 11795-4418
Phone number: 631-314-4456
Mailing Address
DEBRA CIVITANO FNP
500 MONTAUK HWY STE Q
WEST ISLIP, NY 11795-4420
Phone number: 631-314-4456
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