THERESA A PROVETTO

HUNTINGTON STATION, NY
NPI1528022381
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  002407)
Enumeration Date2006-04-17
Last Update Date2022-03-28
Business Address
THERESA A PROVETTO PA
180 E PULASKI RD
HUNTINGTON STATION, NY 11746-1915
Phone number: 631-425-2145
Mailing Address
THERESA A PROVETTO PA
180 E PULASKI RD
HUNTINGTON STATION, NY 11746-1915
Phone number: 631-425-2145
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