Individual
ALICIA ROSE SAMMUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 GRAND BLVD STE 5, DEER PARK, NY 11729-5782
(631) 243-1765
(631) 243-3716
Mailing address
66 BIRCHBROOK DR, SMITHTOWN, NY 11787-3602
(631) 404-8083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/29/2017
Last updated
04/29/2017
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