LARA MICHAELA DECASTRO

PORT JEFFERSON STATION, NY
NPI1518665553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-02-20
Last Update Date2023-02-20
Business Address
LARA MICHAELA DECASTRO PA-C
815 HALLOCK AVE STE A
PORT JEFFERSON STATION, NY 11776-1244
Phone number: 631-828-3036
Mailing Address
LARA MICHAELA DECASTRO PA-C
815 HALLOCK AVE STE A
PORT JEFFERSON STATION, NY 11776-1244
Phone number:
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