Individual
MICHAEL CHIARENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
60 FLEETS POINT DR, WEST BABYLON, NY 11704-8312
(631) 321-0033
(631) 321-0039
Mailing address
60 FLEETS POINT DR, WEST BABYLON, NY 11704-8312
(631) 321-0033
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015960
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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