Individual
MRS. ERICA MARIE PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 E MIDDLE COUNTRY RD STE 340, SMITHTOWN, NY 11787-2814
(631) 393-1629
(631) 392-8939
Mailing address
222 E MIDDLE COUNTRY RD STE 340, SMITHTOWN, NY 11787-2814
(631) 393-1620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019406
NY
Other
Enumeration date
12/22/2015
Last updated
07/01/2019
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