Melissa Detommaso, PA Valid NPI

Individual provider · Physician Assistant · Manhasset, NY

NPI

1306367883

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

Sex

Female

Sole proprietor

No

Enumerated

2017-07-05

Last updated

2017-07-05