Individual
GABRIELLA ROSE PELLETTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16 VAN COTT RD STE 2E, DEER PARK, NY 11729-6519
(631) 274-0777
(631) 274-0777
Mailing address
18 EVELYN LN, CENTEREACH, NY 11720-3819
(631) 983-9807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032485
NY
Other
Enumeration date
07/16/2024
Last updated
09/14/2024
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