Individual
MRS. SHEILA MARIE VERGITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN RPA
Contact information
Practice address
17 CORAWAY ROAD, SETAUKET, NY 11733
(631) 751-1417
Mailing address
15 CORAWAY RD, SETAUKET, NY 11733-2214
(631) 751-1417
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7798382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7798382
PA LICENSE
NY
Enumeration date
12/28/2012
Last updated
12/28/2012
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