Mary Cerasoli is a Physician Assistant in Roslyn, New York. Mary Cerasoli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Cerasoli is 1881741866. The last update date is 2007-07-08.
Mary Cerasoli's current location address is 100 Port Washington Blvd, Roslyn, New York. You can contact this provider via phone number 5163385358. The mailing address for Mary Cerasoli is 100 Port Washington Blvd, Roslyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Cerasoli |
|---|---|
| Address | 100 Port Washington Blvd, Roslyn, New York |
| Phone Number | 5163385358 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1881741866 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Port Washington Blvd |
|---|---|
| City | Roslyn |
| State | New York (NY) |
| Post Code | 115761353 |
| Phone Number | 5163385358 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8057 |
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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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What is the unique provider identifier assigned to Mary Cerasoli?
The Mary Cerasoli has been issued the NPI (National Provider Identifier) 1881741866 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Cerasoli?
The Mary Cerasoli is physically situated at 100 Port Washington Blvd, in the city of Roslyn, state of NY, with the postal code 115761353.
What is Mary Cerasoli's area of expertise and its corresponding taxonomy classification?
The Mary Cerasoli's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881741866 to Mary Cerasoli?
The Centers for Medicare & Medicaid Services originally issued the 1881741866 to Mary Cerasoli on 2007-01-04.
As of what date were the Mary Cerasoli's details last updated?
The information pertaining to the Mary Cerasoli, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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