Individual
MRS. LAUREN DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
49 CUMBERLAND ST, ROCKVILLE CENTRE, NY 11570-5111
(516) 587-1589
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015157
NY
Other
Enumeration date
09/29/2011
Last updated
11/02/2017
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