Individual
CHRISTINE DELUCA HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
403 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-6518
(631) 716-5463
Mailing address
403 LITTLE EAST NECK RD, WEST BABYLON, NY 11704-6518
(631) 716-5463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012974
NY
Other
Enumeration date
11/06/2008
Last updated
09/17/2018
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