Theresa A Provetto in Huntington Station - Physician Assistant
Theresa A Provetto - NPI 1528022381
Theresa A Provetto is a Physician Assistant in Huntington Station, New York. Theresa A Provetto practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Theresa A Provetto is 1528022381. The last update date is 2022-03-28.
Theresa A Provetto's current location address is 180 E Pulaski Rd, Huntington Station, New York. You can contact this provider via phone number 6314252145 and fax number 6314252296. The mailing address for Theresa A Provetto is 180 E Pulaski Rd, Huntington Station, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa A Provetto |
|---|---|
| Address | 180 E Pulaski Rd, Huntington Station, New York |
| Phone Number | 6314252145 |
| Fax Number | 6314252296 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1528022381 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2022-03-28 |
Provider Mailing Address Detail
| Address | 180 E Pulaski Rd |
|---|---|
| City | Huntington Station |
| State | New York (NY) |
| Post Code | 117461915 |
| Phone Number | 6314252145 |
| Fax Number | 6314252296 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2407 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2066017 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Theresa A Provetto?
The Theresa A Provetto has been issued the NPI (National Provider Identifier) 1528022381 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Theresa A Provetto is geographically located?
The Theresa A Provetto is physically situated at the following location: 180 E Pulaski Rd, Huntington Station, NY, 117461915.
When did Theresa A Provetto receive its 1528022381 assignment?
The Theresa A Provetto was assigned its 1528022381 on 2006-04-17, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1528022381 to Theresa A Provetto?
The Centers for Medicare & Medicaid Services originally issued the 1528022381 to Theresa A Provetto on 2006-04-17.
As of what date were the details pertaining to Theresa A Provetto last refreshed?
The information related to the Theresa A Provetto, including its address, specialty, and other relevant details, was last updated on 2022-03-28.