Individual
MISS ARIELLE BRIANNA MAGGIO-FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 NICOLLS RD, HSC, T9, RM 040, STONY BROOK, NY 11794-8093
(631) 444-1205
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 444-1205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011501
NY
Other
Enumeration date
05/23/2007
Last updated
03/18/2014
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