LACEY ELISSA ROSE-CRACCHIOLO

BAY SHORE, NY
NPI1629839709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2024-01-17
Last Update Date2024-01-17
Business Address
Mrs. LACEY ELISSA ROSE-CRACCHIOLO PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
Mrs. LACEY ELISSA ROSE-CRACCHIOLO PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: