Individual
MRS. JUDITH MARIE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
510 MONTAUK HIGHWAY, SUITE C, WEST ISLIP, NY 11795
(631) 587-1451
(631) 587-0503
Mailing address
57 N. OCEANSIDE ROAD, ROCKVILLE CENTRE, NY 11570
(516) 837-9864
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009084-1
NY
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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