Individual
MS. BRIANNA MICHELLE DEVINCENTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 390-7100
Mailing address
3721 SANDRA CT, WANTAGH, NY 11793-1628
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
06/13/2023
Last updated
01/09/2025
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