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1942031224
PAULA A IACOBAZZO
PORT JEFFERSON, NY
NPI
1942031224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 406122)
Enumeration Date
2024-08-09
Last Update Date
2024-08-09
Business Address
PAULA A IACOBAZZO PMHNP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
PAULA A IACOBAZZO PMHNP
9 MIDLAND AVE
ROCKY POINT, NY 11778-8779
Phone number: 917-886-6790
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