Individual
MR. GERARD ANTHONY SQUITTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 862-3890
Mailing address
SAINT CATHERINE OF SIENA MEDICAL CENTER, 50 ROUTE 25 A, SMITHTOWN, NY 11787
(631) 862-3890
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004797-1
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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