Individual
DEANNA ROSE SPARACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1421
(631) 475-1900
Mailing address
157 E WOODSIDE AVE, PATCHOGUE, NY 11772-1421
(631) 475-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342390
NY
Other
Enumeration date
07/24/2018
Last updated
04/01/2021
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