Individual
SHAYNA L BERRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5316 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2591
(631) 474-0707
(631) 562-2108
Mailing address
1 RESEARCH RD, RIDGE, NY 11961-2701
(631) 751-3000
(631) 562-2108
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
022614
NY
Other
Enumeration date
10/02/2018
Last updated
03/14/2025
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