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Gina Marie Sottile
Medical Physician Assistant in Bay Shore, New York
NPI 1720112824

Gina Marie Sottile is a Medical Physician Assistant based in Bay Shore, NY and is specialized in Medical. Gina Marie Sottile practices in Bay Shore, NY. The NPI Number for Gina Marie Sottile is 1720112824 and holds a License No. 010918-1 (New York).

The current practice location address for Gina Marie Sottile is 180 E Main St, Bay Shore, NY and can be reached out via phone at 631-665-0027 and via fax at 631-665-0172.

Location: 180 E Main St, Bay Shore, NY, 11706-8427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720112824
Provider Name
Gina Marie Sottile
Credential
Provider Entity Type
Individual
Gender
Female
Address
180 E Main St, Bay Shore, NY, 11706-8427
Phone Number
631-665-0027
Fax Number
631-665-0172
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
180 E Main St
City
Bay Shore
State
New York
Zip
11706-8427
Phone Number
631-665-0027
Fax Number
631-665-0172
person
Provider Business Mailing Address Details
Address
180 E Main St
City
Bay Shore
State
New York
Zip
11706-8427
Phone Number
631-665-0027
Fax Number
631-665-0172
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
010918-1 (New York)
Definition
Definition to come...
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