Individual
AMY ELISABETH PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-4444
Mailing address
73 BAYSIDE AVE, AMITYVILLE, NY 11701-3652
(516) 509-5071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
06/24/2020
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