Individual
ELISE FRANCES LACARRUBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E HUXLEY DR, HUNTINGTON, NY 11743-1009
(631) 374-9964
Mailing address
5 E HUXLEY DR, HUNTINGTON, NY 11743-1009
(631) 374-9964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023044-1
NY
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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