Individual
CHERYL LAVEGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
923 SIPP AVE, EAST PATCHOGUE, NY 11772-4545
(631) 513-5847
Mailing address
923 SIPP AVENUE, EAST PATCHOGUE, NY 11772
(631) 513-5847
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307377-1
NY
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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