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1952181315
COREY DALLAS PREZZANO
BAY SHORE, NY
NPI
1952181315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030721)
Enumeration Date
2023-10-03
Last Update Date
2023-10-18
Business Address
COREY DALLAS PREZZANO PA-C
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
COREY DALLAS PREZZANO PA-C
325 LAKE AVE UNIT 2159
SAINT JAMES, NY 11780-5030
Phone number: 631-487-7986
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