Individual
ELLYSE DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
285 SILLS RD STE D, EAST PATCHOGUE, NY 11772-4869
(631) 438-0777
Mailing address
285 SILLS RD STE D, EAST PATCHOGUE, NY 11772-4869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019528
NY
Other
Enumeration date
02/21/2016
Last updated
05/03/2023
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