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1952554164
MEGHAN ELIZABETH D'AVERSA
MINEOLA, NY
NPI
1952554164
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Former Name
MEGHAN ELIZABETH DEROSA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011734-1)
Enumeration Date
2008-10-31
Last Update Date
2021-03-22
Business Address
Mrs. MEGHAN ELIZABETH D'AVERSA R.P.A.-C.
120 MINEOLA BLVD STE 410
MINEOLA, NY 11501-4077
Phone number: 516-663-2097
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Mailing Address
Mrs. MEGHAN ELIZABETH D'AVERSA R.P.A.-C.
120 MINEOLA BLVD STE 410
MINEOLA, NY 11501-4077
Phone number: 516-663-2097
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