SANDRA E DECONZA

PATCHOGUE, NY
NPI1467418723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NY  010356)
Enumeration Date2006-04-25
Last Update Date2007-07-08
Business Address
MRS. SANDRA E DECONZA RPA-C
101 HOSPITAL RD
PATCHOGUE, NY 11772-4870
Phone number: 631-654-7195
Mailing Address
MRS. SANDRA E DECONZA RPA-C
2 BABCOCK AVE
RONKONKOMA, NY 11779-6705
Phone number: 631-676-6091
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