LADISE EVERETT

MANHASSET, NY
NPI1538289517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  009991)
Enumeration Date2007-03-31
Last Update Date2007-07-08
Business Address
-- LADISE EVERETT PA
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 516-562-4310
Mailing Address
-- LADISE EVERETT PA
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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