Individual
MR. JOSE J VENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
100 HOSPITAL RD, SUITE 115, EAST PATCHOGUE, NY 11772-8809
(631) 687-4200
(631) 687-4237
Mailing address
100 HOSPITAL RD, SUITE 115, EAST PATCHOGUE, NY 11772-8809
(631) 687-4200
(631) 687-4237
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003310
NY
Other
Enumeration date
12/06/2006
Last updated
07/13/2011
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