Alaine Caccavallo PA-C

NPI 1457667669 - Physician Assistant - 363A00000X

NPI Details
NPI 1457667669
Gender Female
Enumeration Date 08/25/2010
Last Updated 06/20/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
259 1ST ST
MINEOLA NY, 11501-3957, US
Phone (516) 663-3871
Fax
Business Location
259 1ST ST
MINEOLA NY, 11501-3957, US
Phone (516) 663-3871
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014201
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According to our database, Ms. Alaine Caccavallo PA-C NPI is 1457667669, taxonomy code is 363A00000X and license number is 014201, license state is located at New York. Alaine Caccavallo PA-C physically located at 259 1st St, Mineola NY, 11501-3957. NPI Number Alaine Caccavallo PA-C has the Individual type.

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1457667669 NPI number is provided on an as is basis without warranty of any kind. 1457667669 is maintained by the National Plan & Provider Enumeration System. The contents of Alaine Caccavallo PA-C are for informational purposes only.