TREVOR MARK AMBRICO

BAY SHORE, NY
NPI1740754514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
TREVOR MARK AMBRICO
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
TREVOR MARK AMBRICO
115 SMITH ST
LYNBROOK, NY 11563-1527
Phone number: 516-204-2774