Leonard Joseph Marchetta R-P.A.

NPI 1720196140 - Physician Assistant - 363A00000X

NPI Details
NPI 1720196140
Gender Male
Enumeration Date 08/26/2006
Last Updated 01/22/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
STATEN ISLAND NY, 10312-5241, US
Phone (718) 948-5475
Fax (718) 948-5479
Business Location
STATEN ISLAND NY, 10309-3632, US
Phone (917) 837-2137
Taxonomy Code 363A00000X
License State New York
License Number 003712
Remove 1720196140 NPI Number

According to our database, Mr. Leonard Joseph Marchetta R-P.A. NPI is 1720196140, taxonomy code is 363A00000X and license number is 003712, license state is located at New York. Leonard Joseph Marchetta R-P.A. physically located at 5405 Hylan Blvd, Staten Island NY, 10312-5241. NPI Number Leonard Joseph Marchetta R-P.A. has the Individual type.

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1720196140 NPI number is provided on an as is basis without warranty of any kind. 1720196140 is maintained by the National Plan & Provider Enumeration System. The contents of Leonard Joseph Marchetta R-P.A. are for informational purposes only.