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1578349601
MEGAN MARIE LASTELLA
STATEN ISLAND, NY
NPI
1578349601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
MEGAN MARIE LASTELLA PA-C
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
MEGAN MARIE LASTELLA PA-C
16 STATE ST
CLARK, NJ 07066-3121
Phone number: 732-713-1218
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