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Individual

BRITTANY LAURA O'GARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
148 MERRICK RD, AMITYVILLE, NY 11701-3439
(631) 841-4101
Mailing address
246 HAMILTON AVE, MASSAPEQUA, NY 11758-6124
(631) 742-1981

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019453
NY

Other

Enumeration date
02/18/2016
Last updated
02/17/2017
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