MS. Lynette Marie Chacona, PA-C

NPI #1366120321 in Centereach, New York

Provider Information

NPI Number: 1366120321
Entity Type: Individual
Name: MS. Lynette Marie Chacona, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 11 JACKSON AVE
City: Centereach
State: New York
ZIP Code: 11720-3221
Phone: (631) 846-7529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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