Individual
ABIGAIL L CANALETICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 MIKE LN, SMITHTOWN, NY 11787-2326
(631) 561-5533
Mailing address
9 MIKE LN, SMITHTOWN, NY 11787-2326
(631) 561-5533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
02791101
NY
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/31/2021
Last updated
05/05/2022
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