Individual
MRS. COLLEEN INGRASSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 734-7000
Mailing address
9 SPARTON LN, COMMACK, NY 11725-1316
(516) 589-0719
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
014904
NY
Other
Enumeration date
09/07/2011
Last updated
01/14/2016
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