person
Mr. Marc Thomas Civitano, PA
Surgical Physician Assistant in Harrison, New York
NPI 1578615621

Marc Thomas Civitano is a Surgical Physician Assistant based in Harrison, NY and is specialized in Surgical. Marc Thomas Civitano practices in Harrison, NY and has the professional credentials of PA. The NPI Number for Marc Thomas Civitano is 1578615621 and holds a License No. 011059 (New York).

The current practice location address for Marc Thomas Civitano is 600 Mamaroneck Ave, Harrison, NY and can be reached out via phone at 914-686-0111 and via fax at 914-686-8964.

Location: 600 Mamaroneck Ave, Harrison, NY, 10528-1635
person
Provider Profile Details
NPI Number
1578615621
Provider Name
Marc Thomas Civitano
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
600 Mamaroneck Ave, Harrison, NY, 10528-1635
Phone Number
914-686-0111
Fax Number
914-686-8964
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 Mamaroneck Ave
City
State
Zip
10528-1635
Phone Number
914-686-0111
Fax Number
914-686-8964
person
Provider Business Mailing Address Details
Address
600 Mamaroneck Ave
City
State
Zip
10528-1635
Phone Number
914-686-0111
Fax Number
914-686-8964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
011059 (New York)
Definition
Definition to come...
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