person
Mrs. Lacey Elissa Rose-cracchiolo, PA
Surgical Physician Assistant in Bay Shore, New York
NPI 1629839709

Lacey Elissa Rose-cracchiolo is a Surgical Physician Assistant based in Bay Shore, NY and is specialized in Surgical. Lacey Elissa Rose-cracchiolo practices in Bay Shore, NY and has the professional credentials of PA. The NPI Number for Lacey Elissa Rose-cracchiolo is 1629839709 and holds a License No. (New York).

The current practice location address for Lacey Elissa Rose-cracchiolo is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-968-3000.

Location: 301 E Main St, Bay Shore, NY, 11706-8408
person
Provider Profile Details
NPI Number
1629839709
Provider Name
Lacey Elissa Rose-cracchiolo
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
301 E Main St, Bay Shore, NY, 11706-8408
Phone Number
631-968-3000
Fax Number
Provider Enumeration Date
01/17/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
State
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
State
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(New York)
Definition
Definition to come...
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