Individual
CAROLINE CHRISTINE PIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(631) 903-4592
Mailing address
94 MARILYNN ST, EAST ISLIP, NY 11730-2705
(631) 903-4592
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
026952
NY
Other
Enumeration date
08/31/2021
Last updated
09/10/2021
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