Alicia Darge, RPAC

NPI #1154588929 in Bay Shore, New York

Provider Information

NPI Number: 1154588929
Entity Type: Individual
Name: Alicia Darge, RPAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: RPAC
Enumeration Date: May 20, 2008
Last Updated: Jun 21, 2013

Practice Location

Address: 280 E MAIN ST
City: Bay Shore
State: New York
ZIP Code: 11706-8403
Phone: (631) 591-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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