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Michele C Caietta, PA-C

Physician Assistant in West Islip, NY. Individual provider (NPI-1).

NPI number1306388186
StatusActive
Last updated in NPPESNov 10, 2016

Details

NPI
1306388186
Entity type
Individual (NPI-1)
Name
Ms. Michele C Caietta
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 10, 2016
Last updated
Nov 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant020378NYYes

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone 631-376-3000

Mailing address

1244 Glenwood Rd
Wantagh, NY 11793-2433

Phone 631-245-9799

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