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THERESA PROVETTO, PA
PA
Physician Assistant
NPI: 1528022381IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
002407(NY)
Education
OTHER
Class of 1984
Contact & Hours
- Address
- 180 E PULASKI RD
HUNTINGTON STATION, NY 11746 - Phone
- (631) 425-2145
Quick Facts
- NPI
- 1528022381
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 42
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