Individual
MRS. CARA PATRICE DEMATO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
975 PATTERSON AVE, STATEN ISLAND, NY 10306-6028
(917) 742-7585
Mailing address
975 PATTERSON AVE, STATEN ISLAND, NY 10306-6028
(917) 742-7585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/09/2012
Last updated
07/21/2022
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