Individual
EMILY PITARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
12 WOODLAND TRL, CARMEL, NY 10512-1413
(845) 216-5260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018473
NY
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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