Individual
BETHLYN DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6000
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1008
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013935
NY
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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