Individual
MRS. DASHURIJE RUPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 HOSPITAL ROAD, MEDICAL CENTER, PATCHOGUE, NY 11772
(631) 687-2953
(610) 617-6280
Mailing address
60 ROBINSON AVE, EAST PATCHOGUE, NY 11772-4842
(917) 519-2102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0090121
NY
Other
Enumeration date
06/10/2006
Last updated
11/08/2018
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