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Mrs. Sandra E Deconza, RPA-C
Medical Physician Assistant in Patchogue, New York
NPI 1467418723

Sandra E Deconza is a Medical Physician Assistant based in Ronkonkoma, NY and is specialized in Medical. Sandra E Deconza practices in Patchogue, NY and has the professional credentials of RPA-C. The NPI Number for Sandra E Deconza is 1467418723 and holds a License No. 010356 (New York).

The current practice location address for Sandra E Deconza is 101 Hospital Rd, Patchogue, NY and can be reached out via phone at 631-654-7195.

Location: 101 Hospital Rd, Patchogue, NY, 11779-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467418723
Provider Name
Sandra E Deconza
Credential
RPA-C
Provider Entity Type
Individual
Gender
Male
Address
101 Hospital Rd, Patchogue, NY, 11779-6705
Phone Number
631-654-7195
Fax Number
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Hospital Rd
City
Patchogue
State
New York
Zip
11772-4870
Phone Number
631-654-7195
Fax Number
person
Provider Business Mailing Address Details
Address
101 Hospital Rd
City
Patchogue
State
New York
Zip
11772-4870
Phone Number
631-654-7195
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
010356 (New York)
Definition
Definition to come...
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