Individual
CATHLEEN DEGARMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 EVERDELL AVE, WEST ISLIP, NY 11795
(631) 669-2414
Mailing address
524 EVERDELL AVE, WEST ISLIP, NY 11795-4222
(631) 669-2414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
828581
NY
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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