person
Mary Devine, PA
Medical Physician Assistant in East Meadow, New York
NPI 1891856852

Mary Devine is a Medical Physician Assistant based in Wyandanch, NY and is specialized in Medical. Mary Devine practices in East Meadow, NY and has the professional credentials of PA. The NPI Number for Mary Devine is 1891856852 and holds a License No. 006111 (New York).

The current practice location address for Mary Devine is 2201 Hempstead Tpke, East Meadow, NY and can be reached out via phone at 516-572-6131 and via fax at 516-572-5793. You can also correspond with Mary Devine through the mailing address at 59 JEFFERSON AVE, WYANDANCH, NY - 11798-4021 (mailing address contact number: ).

Location: 2201 Hempstead Tpke, East Meadow, NY, 11798-4021
person
Provider Profile Details
NPI Number
1891856852
Provider Name
Mary Devine
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2201 Hempstead Tpke, East Meadow, NY, 11798-4021
Phone Number
516-572-6131
Fax Number
516-572-5793
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006111 01 NY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2201 Hempstead Tpke
City
State
Zip
11554-1859
Phone Number
516-572-6131
Fax Number
516-572-5793
person
Provider Business Mailing Address Details
Address
59 Jefferson Ave
City
State
Zip
11798-4021
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
006111 (New York)
Definition
Definition to come...
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