Lisa Ferazzoli RPA-C

NPI 1104070911 - Physician Assistant - 363AM0700X

NPI Details
NPI 1104070911
Gender Female
Enumeration Date 11/06/2008
Last Updated 12/11/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
114-12 BEACH CHANNEL DRIVE
ROCKAWAY PARK NY, 11694-2215, US
Phone (718) 318-6021
Fax (718) 318-4802
Business Location
114-12 BEACH CHANNEL DRIVE
ROCKAWAY PARK NY, 11694-2215, US
Phone (718) 318-6021
Fax (718) 318-4802
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 012988
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According to our database, Ms. Lisa Ferazzoli RPA-C NPI is 1104070911, taxonomy code is 363AM0700X and license number is 012988, license state is located at New York. Lisa Ferazzoli RPA-C physically located at 114-12 Beach Channel Drive, Rockaway Park NY, 11694-2215. NPI Number Lisa Ferazzoli RPA-C has the Individual type.

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1104070911 NPI number is provided on an as is basis without warranty of any kind. 1104070911 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ferazzoli RPA-C are for informational purposes only.