Laura Polito, PA-C
Physician Assistant, Surgical in Staten Island, NY. Individual provider (NPI-1).
NPI number1023342003
StatusActive
Last updated in NPPESAug 1, 2011
Details
- NPI
- 1023342003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura Polito
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2009
- Last updated
- Aug 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 013497 | NY | Yes |
Other names
- Laura Burriesci (Former Name)
Practice location
256 Mason AveBuilding B- 2nd Floor
Staten Island, NY 10305-3408
Phone 718-226-1271 · Fax 718-226-1247
Mailing address
8909 Bay 16th St Apt B1Brooklyn, NY 11214-5923
Phone 347-628-8862
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All 53 Surgical Physician Assistant providers in Staten Island · All 15,106 providers in Staten Island
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