Marina Vita Tricarico, PA
Physician Assistant in Manhasset, NY. Individual provider (NPI-1).
NPI number1982141081
StatusActive
Last updated in NPPESFeb 13, 2017
Details
- NPI
- 1982141081
- Entity type
- Individual (NPI-1)
- Name
- Marina Vita Tricarico
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2017
- Last updated
- Feb 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 23020580 | NY | Yes |
Practice location
300 Community DrManhasset, NY 11030-3816
Phone 516-562-4970
Mailing address
300 Community DrManhasset, NY 11030-3816
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