Individual
ALICIA DARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
280 E MAIN ST, BAY SHORE, NY 11706-8403
(631) 591-7400
(631) 591-7401
Mailing address
280 E MAIN ST, BAY SHORE, NY 11706-8403
(631) 591-7400
(631) 591-7401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009724
NY
Other
Enumeration date
05/20/2008
Last updated
06/21/2013
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