Individual
MRS. SARA ISABEL DEVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2857 JERUSALEM AVE, WANTAGH, NY 11793-2018
(516) 785-2783
(516) 785-2584
Mailing address
2478 FREEPORT ST, WANTAGH, NY 11793-4527
(516) 785-0317
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F336966-1
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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