Individual
PATRICIA JEANNE MUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5 EASTPORT MANOR RD, EASTPORT, NY 11941-1410
(631) 325-2255
(631) 325-8562
Mailing address
34 ROY DR, NESCONSET, NY 11767-2214
(631) 382-9390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003065-1
NY
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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